Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME0070712 | FL |
NPI | 1013900588 |
---|---|
Provider Name | Equbal E Kalani |
First Address | Tarpon Springs, FL 34689-1955 |
Second Address | Tarpon Springs, FL 34689-1955 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 20/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
190365 | WELLCARE (01) | |
203758 | AMERIGROUP (01) | |
205231 | AVMED (01) | FL |
2101710 | GHI (01) | |
5212260 | AETNA (01) | |
F50599 | (02) | FL |
P00205783 | RR MCR (01) |