Individual
NISHANT KALRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E PARIS AVE SE, SUITE 200, GRAND RAPIDS, MI 49546-3691
(616) 685-3450
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 765-5921
(270) 506-1056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083175
MI
207RI0011X
Interventional Cardiology Physician
Primary
35.125165
OH
207RI0011X
Interventional Cardiology Physician
42578
KY
208M00000X
Hospitalist Physician
37199
AZ
208M00000X
Hospitalist Physician
42578
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234167
—
AZ
01
—
52231434001
BCBS
GA
Enumeration date
07/11/2007
Last updated
12/07/2020
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