Organization
JAMAL KALALA, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAL M KALALA M.D. (OWNER)
(828) 632-1234
Entity
Organization
Contact information
Practice address
225 NC HIGHWAY 16 S, TAYLORSVILLE, NC 28681-3048
(828) 632-1234
(828) 632-8794
Mailing address
225 NC HIGHWAY 16 S, TAYLORSVILLE, NC 28681-3048
(828) 632-1234
(828) 632-8794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35149
NC
207RN0300X
Nephrology Physician
35149
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12601
BCBS
NC
01
—
2185408M
MEDICARE PTAN
—
05
—
8912601
—
NC
Enumeration date
04/24/2008
Last updated
04/26/2013
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