Individual
MR. SHIVAM KALRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
9330 MEDICAL PLAZA DRIVE, CHARLESTON, SC 29406
(843) 797-7000
Mailing address
TRIDENT MEDICAL CENTER, 9330 MEDICAL PLAZA DRIVE, NORTH CHARLESTON, SC 29406
(843) 797-7000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
09/28/2023
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