MEDICARE: MICHAEL JOHN KALISH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	30924	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080083331	OTHER	NC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1212660012	OTHER	NC	DME
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073533246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JOHN KALISH MD

Provider Business Mailing Address
First Line	:	4515 PREMIER DR STE 201
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8356
Country	:	US
Telephone Number	:	336-802-2610
Fax Number	:	336-802-2611

Provider Business Practice Location Address
First Line	:	4515 PREMIER DR
Second Line	:	SUITE 201
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8357
Country	:	US
Telephone Number	:	336-802-2610
Fax Number	:	336-802-2611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	04/02/2026

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Directions to “ MICHAEL JOHN KALISH MD” Practice Location

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