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JACOB KALO MD PC NPI 1396941001


NPI Information

NPI: 1396941001
Provider Name: JACOB KALO MD PC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
15650 E 8 MILE RD
DETROIT, MI
ZIP 48205
Phone: (313) 526-3600
Get Directions

JACOB KALO MD PC is an obstetrics obstetrics gynecology in Detroit, MI. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee JACOB KALO MD PC NPI is 1396941001. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15650 E 8 MILE RD
DETROIT, MI
ZIP 48205-444
Phone: (313) 526-3600
Fax: (313) 526-3603

The provider's authorized official is Jacob Kalo .
The authorized official title is Owner and has the following contact phone number (313) 526-3600.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 11/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistJK040053MICHIGANNo
2207V00000XObstetrics & GynecologyNo
3207VX0000XObstetrics & GynecologyObstetricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17820007OTHERMICHIGANBLUE CROSS PIN
21703687MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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