Active NPI
Gurjeet S Kalra M.D. P.a.
- Psychiatry Physician
- Greenville, TX
National Provider Identifier
1093073793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H4836
- Legal business name
- GURJEET S KALRA M.D. P.A.
- Practice address
- 4818 Wellington St Ste 4
Greenville, TX 75402-6010 - Phone
- (903) 454-1600
- Fax
- (903) 454-2262
- NPI assigned
- May 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gurjeet S Kalra, M.D.
- Title
- President
- Phone
- (903) 454-1600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H4836 | TX | Primary |
Addresses
Primary practice location
4818 Wellington St Ste 4
Greenville, TX 75402-6010
Mailing address
4818 Wellington St Ste 4
Greenville, TX 75402-6010
Phone (903) 454-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2824 Terrell Rd
Ste 304
Greenville, TX 75402
Phone (903) 354-1600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Greenville, TX
- NPI 1700895026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335830400000",
"number": "1093073793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4818 WELLINGTON ST STE 4",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754026010",
"telephone_number": "903-454-1600",
"fax_number": "903-454-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4818 WELLINGTON ST STE 4",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754026010",
"telephone_number": "903-454-1600",
"fax_number": "903-454-2262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GURJEET S KALRA M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-01",
"last_updated": "2012-05-01",
"status": "A",
"authorized_official_last_name": "KALRA",
"authorized_official_first_name": "GURJEET",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-454-1600",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H4836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.