Individual
KALYANI REGETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18699 TAMIAMI TRL, NORTH PORT, FL 34287-7388
(941) 429-3416
(941) 429-3430
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
306050
LA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME141413
FL
Other
Enumeration date
12/14/2016
Last updated
02/06/2024
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