NPIMap

Organization Active NPI

Skalan LLC

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1770040685
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SKALAN LLC
Practice address
14917 Smitter Reserve Dr
Tampa, FL 33618-2205
Phone
(407) 970-0336
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shivam Kalan, MDNPI 1861781932
Title
Owner
Phone
(407) 970-0336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14917 Smitter Reserve Dr
Tampa, FL 33618-2205

Mailing address

14917 Smitter Reserve Dr
Tampa, FL 33618-2205
Phone (407) 970-0336

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1770040685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14917 SMITTER RESERVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182205",
            "telephone_number": "407-970-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14917 SMITTER RESERVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182205",
            "telephone_number": "407-970-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKALAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "KALAN",
        "authorized_official_first_name": "SHIVAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-970-0336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.