Individual
DR. KIRAN KUMAR MOGALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2080 OAKLEY SEAVER DR STE 130, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 650-1307
Mailing address
2080 OAKLEY SEAVER DR STE 130, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN15201
FL
207RC0000X
Cardiovascular Disease Physician
ME131842
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME131842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021752900
—
FL
Enumeration date
07/26/2010
Last updated
02/28/2020
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