Individual
DR. RABIH KALAKECHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01067991A
IN
390200000X
Student in an Organized Health Care Education/Training Program
2005017732
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000666462
ANTHEM PROVIDER NUMBER
IN
05
—
200980480
—
IN
Enumeration date
06/04/2007
Last updated
02/03/2021
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