Provider Demographics
NPI:1265234066
Name:KALOLA, DARSHAN (MD)
Entity type:Individual
Prefix:
First Name:DARSHAN
Middle Name:
Last Name:KALOLA
Suffix:
Gender:X
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SAGAMORE LN
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-4459
Mailing Address - Country:US
Mailing Address - Phone:856-520-9398
Mailing Address - Fax:
Practice Address - Street 1:22 SAGAMORE LN
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-4459
Practice Address - Country:US
Practice Address - Phone:856-520-9398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program