ABHISHEK KALLA (NPI# 1508085887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508085887 |
| Entity Type | Individual |
| Full Name | ABHISHEK KALLA |
| Credential | M.D. |
| Practice Address |
900 Caton Ave Baltimore MD 21229-5201 |
| Practice Telephone | 6672342910 |
| Practice Fax Number | 6672343517 |
| Mailing Telephone | 6672342910 |
| Mailing Fax Number | 6672343517 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
D79335 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
900 CATON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617021 | Susan L Behen | Surgery | 900 Caton Ave, Baltimore, MD 21229-5201 | 2005-05-23 |
| 1992326532 | Seton Medical Group, Inc | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-05-06 |
| 1801416821 | Deanna Dong | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-04-20 |
| 1780225326 | St. Agnes Healthcare, Inc. | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-10-04 |
| 1346890886 | Mary B Krause | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1447800974 | Tyrone Qualls | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1669020301 | Lori Anne Massey | Nurse Practitioner | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-08-27 |
| 1265086649 | Lilia Gutierrez Villarin | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-07-24 |
| 1699328245 | St. Agnes Healthcare, Inc. | Audiologist-Hearing Aid Fitter | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-07-23 |
| 1780168351 | Ahmad Ali Al-abdouh | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114233012 | Kenneth Miller Md LLC | Internal Medicine | 2411 West Belvedere Avenue, 202, Baltimore, MD 21215 | 2010-08-30 |
| 1548573660 | Wanqing Iris Zhi | Internal Medicine | The Sidney Kimmel Comprehensive Ctr, Johns Hopkins Hospital, Baltimore, MD 21287-0001 | 2010-07-18 |
| 1073755765 | Lukasz Pawel Gondek | Internal Medicine | 1650 Orleans St # 1-290, Baltimore, MD 21287-0013 | 2009-03-27 |
| 1831331644 | Daniel Kejzman | Internal Medicine | 1650 Orleans Street, Baltimore, MD 21231-1000 | 2009-03-26 |
| 1245480607 | Jean H. Hoffman-censits | Internal Medicine | 1800 Orleans St Rm 1m40, Baltimore, MD 21287 | 2008-09-23 |
| 1467652826 | Samuel Zygler | Internal Medicine | 2524 Farringdon Rd, Baltimore, MD 21209-2543 | 2007-07-23 |
| 1710033402 | Josh David Lauring | Internal Medicine | Crb I Rm 146, 1650 Orleans St, Baltimore, MD 21287-0001 | 2007-01-26 |
| 1649385634 | Panayotis Ledakis | Internal Medicine | 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-08-20 |
| 1467460345 | Ali Cahid Civelek | Internal Medicine | 601 N Caroline St Ste 3223a, Baltimore, MD 21287-0006 | 2006-08-04 |
| 1538184056 | Mary J Wilkinson | Internal Medicine | 1800 Orleans St Fl 10, Baltimore, MD 21287-0010 | 2006-07-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.