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Kailash Pendem
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida
NPI 1346817806

Kailash Pendem is a Student in an Organized Health Care Education/Training Program based in Fort Lauderdale, FL. Kailash Pendem practices in Fort Lauderdale, FL. The NPI Number for Kailash Pendem is 1346817806 and holds a License No. (Florida).

The current practice location address for Kailash Pendem is 4725 N Federal Hwy, Fort Lauderdale, FL and can be reached out via phone at 703-732-8052.

Location: 4725 N Federal Hwy, Fort Lauderdale, FL, 33308-4603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346817806
Provider Name
Kailash Pendem
Credential
Provider Entity Type
Individual
Gender
Male
Address
4725 N Federal Hwy, Fort Lauderdale, FL, 33308-4603
Phone Number
703-732-8052
Fax Number
Provider Enumeration Date
06/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4725 N Federal Hwy
City
Fort Lauderdale
State
Florida
Zip
33308-4603
Phone Number
703-732-8052
Fax Number
person
Provider Business Mailing Address Details
Address
4725 N Federal Hwy
City
Fort Lauderdale
State
Florida
Zip
33308-4603
Phone Number
703-732-8052
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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