Provider Demographics
NPI:1568251387
Name:KALRA, DIDAR-KARAN (DO)
Entity type:Individual
Prefix:
First Name:DIDAR-KARAN
Middle Name:
Last Name:KALRA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1576 S MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360
Mailing Address - Country:US
Mailing Address - Phone:317-795-6420
Mailing Address - Fax:
Practice Address - Street 1:1505 W SHERMAN AVENUE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-641-6064
Practice Address - Fax:856-575-4944
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program