Provider Demographics
NPI:1083502595
Name:PMC SERVICES LLC
Entity type:Organization
Organization Name:PMC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KALYAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-426-3918
Mailing Address - Street 1:5808 CALLAWAY LN
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-8437
Mailing Address - Country:US
Mailing Address - Phone:479-242-4455
Mailing Address - Fax:479-242-6781
Practice Address - Street 1:8300 CHAD COLLEY BLVD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916
Practice Address - Country:US
Practice Address - Phone:479-242-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty