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:
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Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043237951 NPPES
Michigan MEDICAID 4717980-10
Michigan MEDICAID 1043237951
Michigan Other 1106366471

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