Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellanya Lourde Kallabat

Individual provider Anesthesiology Physician · NPI 1679313902

Ellanya Lourde Kallabat is an Anesthesiology Physician in Royal Oak, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4351053582 (MI)

Record details

NPI number1679313902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

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