Individual
SAMANTHA KALAKURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1921 WALDEMERE ST STE 306, SARASOTA, FL 34239
(913) 283-8063
(913) 238-8854
Mailing address
1921 WALDEMERE ST STE 306, SARASOTA, FL 34239-2941
(941) 917-8722
(941) 917-8727
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0433257
KS
207RN0300X
Nephrology Physician
Primary
ME133567
FL
208M00000X
Hospitalist Physician
0101256679
VA
208M00000X
Hospitalist Physician
D0069457
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023392600
—
FL
Enumeration date
07/17/2007
Last updated
08/22/2018
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