Individual
DR. VIJAYASEKHARA REDDY KALAKATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 NE 3RD AVE STE 104, CRYSTAL RIVER, FL 34428-3541
(352) 365-0045
(353) 364-0047
Mailing address
208 S HARRISON ST, BEVERLY HILLS, FL 34465-4061
(352) 365-0045
(353) 364-0047
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
045574
CT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME101929
FL
Other
Enumeration date
12/07/2007
Last updated
01/25/2013
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