Individual
JOHN P KALABAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
4301071978
MI
2085N0904X
Nuclear Radiology Physician
4301071978
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301071978
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H26188
BCBS PROVIDER NUMBER
MI
01
—
0Q26008
BCBS PROVIDER NUMBER
MI
01
—
0Q26008056
FED BLACK LUNG PROGRAM
—
01
—
1006439
MCLAREN HEALTH
MI
01
—
145913
GREAT LAKES HEALTH
MI
05
—
4596212
—
MI
01
—
459621210
PROCARE
MI
01
—
P00126294
RR MEDICARE/PALMETTO GBA
—
Enumeration date
01/19/2006
Last updated
09/24/2025
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