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Dr. Priyanka Kallem
Adolescent Medicine (Family Medicine) Physician in Pleasanton, California
NPI 1417114067

Priyanka Kallem is an Adolescent Medicine (Family Medicine) Physician based in Pleasanton, CA and is specialized in Adolescent Medicine. Priyanka Kallem practices in Pleasanton, CA. The NPI Number for Priyanka Kallem is 1417114067 and holds a License No. (California).

The current practice location address for Priyanka Kallem is 5925 W Las Positas Blvd, Pleasanton, CA and can be reached out via phone at 925-462-1755 and via fax at 925-462-1650. You can also correspond with Priyanka Kallem through the mailing address at 5925 W LAS POSITAS BLVD, PLEASANTON, CA - 94588-8537 (mailing address contact number: 925-462-1755).

Location: 5925 W Las Positas Blvd, Pleasanton, CA, 94588-8537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417114067
Provider Name
Priyanka Kallem
Credential
Provider Entity Type
Individual
Gender
Female
Address
5925 W Las Positas Blvd, Pleasanton, CA, 94588-8537
Phone Number
925-462-1755
Fax Number
925-462-1650
Provider Enumeration Date
05/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5925 W Las Positas Blvd
City
Pleasanton
State
California
Zip
94588-8537
Phone Number
925-462-1755
Fax Number
925-462-1650
person
Provider Business Mailing Address Details
Address
5925 W Las Positas Blvd
City
Pleasanton
State
California
Zip
94588-8537
Phone Number
925-462-1755
Fax Number
925-462-1650
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
A106553 (California)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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