Individual provider · Type 1 NPI

Antonio K. Kallabat

Student in an Organized Health Care Education/Training Program · Mesa, AZ

NPI number 1790696276 Active

Practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Call (480) 248-8100 Map

Mailing address

3811 Mystic Valley Dr
Bloomfield Hills, MI 48302-1438

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1790696276

Antonio K. Kallabat's National Provider Identifier is 1790696276, issued on Sep 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mesa, AZ. The record was last updated on Sep 15, 2026.