Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 106943 | MN |
Y | 207V00000X | Obstetrician & Gynecologist | ME121386 | FL |
NPI | 1013225317 |
---|---|
Provider Name | Puja Kalidas |
First Address | Orlando, FL 32806-2031 |
Second Address | Orlando, FL 32806-2031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2010 |
Last Update Date | 23/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017108200 | (05) | FL |