Provider Demographics
NPI:1649684572
Name:KALLIS, CHRISTOS (MBBS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOS
Middle Name:
Last Name:KALLIS
Suffix:
Gender:M
Credentials:MBBS
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Mailing Address - Street 1:3400 CIVIC CENTER BLVD, SOUTH PAVILION EXPANSION
Mailing Address - Street 2:UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5127
Mailing Address - Country:US
Mailing Address - Phone:215-615-1677
Mailing Address - Fax:215-615-1688
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:ALBERT EINSTEIN MEDICAL CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:800-220-2362
Practice Address - Fax:215-456-7926
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PAMD466611207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology