Basic Information
Provider Information
NPI: 1932364304
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KALRA
FirstName: YUVRAJ
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 975 E 3RD ST
Address2:  
City: CHATTANOOGA
State: TN
PostalCode: 374032147
CountryCode: US
TelephoneNumber: 4237786107
FaxNumber: 4237786958
Practice Location
Address1: 910 BLACKFORD ST
Address2:  
City: CHATTANOOGA
State: TN
PostalCode: 374031405
CountryCode: US
TelephoneNumber: 4237786107
FaxNumber: 4237786958
Other Information
ProviderEnumerationDate: 07/24/2008
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X55954TNN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0203X55954TNY Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine

No ID Information.


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