Basic Information
Provider Information
NPI: 1417277112
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KALIA
FirstName: ROHIT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 19305
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282199305
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 433 MCALISTER RD
Address2:  
City: LINCOLNTON
State: NC
PostalCode: 280924147
CountryCode: US
TelephoneNumber: 9802126018
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/03/2010
LastUpdateDate: 10/26/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X51924SCN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RI0200X01073945AINN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207R00000X2018-00367NCY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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