Individual
DR. SHIVAM PRAKASH KALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
329 NC HIGHWAY 801 N, BERMUDA RUN, NC 27006-7905
(336) 716-9253
(336) 716-0030
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME117592
FL
208M00000X
Hospitalist Physician
Primary
2022-02548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012202800
—
FL
01
—
14V1F
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/29/2011
Last updated
08/18/2025
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