| Doctor Name: | DR. MADHU T KALYAN |
| NPI Number: | 1386689644 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | E3298 |
| Business Practice Address: | 601 W Maple Ave Suite 704 Springdale, AR - 727645335 |
| Business Phone Number: | 4797573717 |
| Business Fax Number: | 4798565307 |
| Mailing Address: | 601 W Maple Ave, Suite 704 SPRINGDALE |
| State: | AR |
| Postal Code: | 727645335 |
| Phone Number: | 4797573717 |
| Fax Number: | 4798565307 |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 07/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | E3298 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |