Individual
AJAY KALRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6821 PALISADES PARK CT, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Mailing address
6821 PALISADES PARK CT, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME85409
FL
2086S0129X
Vascular Surgery Physician
Primary
ME85408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010065906
RAILROAD MEDICARE
—
01
—
16004
BLUE CROSS BLUE SHIELD FL
—
05
—
2650487000
—
FL
01
—
7428352
AETNA
—
Enumeration date
08/31/2005
Last updated
08/29/2014
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