Dr Shivam Prakash Kalan, MD | |
329 Nc Highway 801 N, Bermuda Run, NC 27006-7905 | |
(336) 716-9253 | |
(336) 716-0030 |
Full Name | Dr Shivam Prakash Kalan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 13 Years |
Location | 329 Nc Highway 801 N, Bermuda Run, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861781932 | NPI | - | NPPES |
14V1F | Other | FL | BLUE CROSS BLUE SHIELD |
012202800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME117592 (Florida) | Secondary |
208M00000X | Hospitalist | 2022-02548 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
High Point Regional Health System | High point, NC | Hospital |
Davie Medical Center | Mocksville, NC | Hospital |
Roper Hospital | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
24 On Physicians Of Sc Llc | 5890127344 | 98 |
Wake Forest University Health Sciences | 4486564952 | 2048 |
Entity Name | Sound Physicians Of South Carolina, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922428358 PECOS PAC ID: 6800014762 Enrollment ID: O20140905002528 |
Entity Name | Cogent Healthcare Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20151015001850 |
Entity Name | 24 On Physicians Of Sc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144877655 PECOS PAC ID: 5890127344 Enrollment ID: O20191121001203 |
Mailing Address | Practice Location Address |
---|---|
Dr Shivam Prakash Kalan, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: () - | Dr Shivam Prakash Kalan, MD 329 Nc Highway 801 N, Bermuda Run, NC 27006-7905 Ph: (336) 716-9253 |
Nathanael Elvin Phillips, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-716-9253 Fax: 336-716-0030 | |
Dr. Allyson Elizabeth Mentock, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-716-9253 Fax: 336-716-3202 |