Kalyan, Shamla
Kalyan, Shamla is an individual health care provider with primary practice located at 44200 Woodward Ave Suite 101, Pontiac MI 48341-5045. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kalyan, Shamla can be contacted via phone (248) 212-0678.Contact Information
Primary practice address
44200 Woodward Ave Suite 101
Pontiac MI 48341-5045
Phone: (248) 212-0678
Fax: (248) 212-0790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4301069774 | Michigan |
Profile Details
| NPI number | 1043237951 |
|---|---|
| LBN Legal business name | Kalyan, Shamla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Nov 6th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043237951 | NPPES |
| Michigan | MEDICAID | 4717980-10 | |
| Michigan | MEDICAID | 1043237951 | |
| Michigan | Other | 1106366471 |
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