Organization
KALPANA VISHNUPAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALPANA VISHNUPAD M.D. (CEO)
(937) 848-9130
Entity
Organization
Contact information
Practice address
1458 CLEAR BROOK DR, DAYTON, OH 45440-4317
(937) 848-9130
(937) 848-3329
Mailing address
1458 CLEAR BROOK DR, DAYTON, OH 45440-4317
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
35-07-3908-V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052906
—
OH
Enumeration date
11/19/2007
Last updated
02/27/2013
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