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Individual
DR. PREETI KALLU
Active
Individual
DR. PREETI KALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME108938
FL
207R00000X
Internal Medicine Physician
MT185422
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004191800
—
FL
01
—
P01276478
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
08/24/2007
Last updated
04/23/2020
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