National Provider Identifier
Jeffrey Kallas, M.D.
Jeffrey Kallas, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Rochester, NY and a listed phone number of (585) 275-2222.
Profile Overview
- NPI
- 1518353614
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- April 15, 2015
- Last Updated
- June 30, 2020
Practice Location
- 601 Elmwood Ave
- Box Med
- Rochester, NY 14642-0001
Phone: (585) 275-2222
Mailing Address
- 601 Elmwood Ave Imaging Sciences - Box 648
- Rochester, NY 14642-0001
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1518353614
- Entity Type
- Individual
- Last Name
- Kallas
- First Name
- Jeffrey
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave Imaging Sciences - Box 648
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-2222
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box Med
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2222
- Enumeration Date
- April 15, 2015
- Last Updated
- June 30, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)