Individual
DR. JAMES EDWARD KALLAL
Active
Individual
DR. JAMES EDWARD KALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
019484
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001194844
—
CT
01
—
010019484CT01
ANTHEM BCBS ID#
CT
01
—
0521150446
CONNECTICARE ID#
CT
01
—
13459
HEALTH NEW ENGLAND ID#
CT
01
—
2043107
AETNA ID#
CT
01
—
2266768003
CIGNA ID#
CT
01
—
OS2283
HEALTHNET ID#
CT
01
—
P12038342
MULTIPLAN ID#
CT
01
—
P1236548
OXFORD HEALTH ID#
CT
Enumeration date
07/27/2005
Last updated
05/26/2011
Update your record
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