Individual
KALIA KUMAR SADASIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7384
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME99074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1374865
—
LA
05
—
276409100
—
FL
Enumeration date
07/13/2006
Last updated
06/02/2009
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