Organization
M KALAKOTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHUSUDANA R KALAKOTA M.D. (PRESIDENT)
(407) 931-2991
Entity
Organization
Contact information
Practice address
1920 N CENTRAL AVE, KISSIMMEE, FL 34741-2331
(407) 931-2991
(407) 933-4699
Mailing address
1920 N CENTRAL AVE, KISSIMMEE, FL 34741-2331
(407) 931-2991
(407) 933-4699
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ME0061078
FL
Other
Enumeration date
02/19/2009
Last updated
02/05/2010
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