Provider Demographics
NPI:1306835541
Name:KALAN, JAY M (MD)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:M
Last Name:KALAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6301 ABERCORN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5701
Mailing Address - Country:US
Mailing Address - Phone:912-352-8700
Mailing Address - Fax:912-650-6805
Practice Address - Street 1:8 HOSPITAL CENTER BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-682-2740
Practice Address - Fax:843-682-3905
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC22155207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT62492Medicaid
SCSC5333E470Medicare PIN
SCE614704768Medicare PIN
SCT62492Medicaid
GA06BDGSWMedicare PIN