# I-STAT PROVIDERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699420596
- **Authorized official:** RAJEEV KALRA MD (PRESIDENT)
- **Authorized official phone:** (626) 290-1056

## Contact information

- **Practice address:** 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
- **Practice address phone:** (626) 290-1056
- **Mailing address:** 6260 TUCKAWAY COVE AVE, LAS VEGAS, NV 89139-6269
- **Mailing address phone:** (626) 290-1056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2022
- **Last updated:** 03/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1154583870 | — | NV |