Individual
RAJAN KALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 W OAK ST,, STE# 203, KISSIMMEE, FL 34741
(407) 284-1993
(407) 362-7136
Mailing address
PO BOX; 691861, ORLANDO, FL 32869
(407) 254-2500
(407) 423-2789
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME 93136
FL
207L00000X
Anesthesiology Physician
Primary
ME93136
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME 93136
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME93136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251915100
GTBA GROUP MEDICAID #
FL
01
—
40929
GTBA GROUP MEDICARE #
FL
Enumeration date
07/10/2006
Last updated
03/14/2014
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