Individual
MARVIN S. KALACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, M.S., DFAAPA
Contact information
Practice address
810 SHONEY DR SW, SUITE 120, HUNTSVILLE, AL 35801-5436
(256) 883-3231
(256) 883-9577
Mailing address
PO BOX 13148, HUNTSVILLE, AL 35802-4049
(256) 883-3231
(256) 883-9577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-26
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-92232
AMERICAN BEHAVIORAL HEALTH FED BC (FOR 165 WHITESPORT DR, HUNTSVILLE, AL)
AL
01
—
51505201
BLUE CROSS BLUE SHIELD
AL
01
—
51599673
AMERICAN BEHAVIORAL HEALTH FEDERAL BLUE CROSS
—
Enumeration date
07/19/2005
Last updated
05/20/2013
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