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Madhusudana Kalakota, MD
Specialist in Kissimmee, Florida
NPI 1902911837

Madhusudana Kalakota is a Specialist based in Kissimmee, FL. Madhusudana Kalakota practices in Kissimmee, FL and has the professional credentials of MD. The NPI Number for Madhusudana Kalakota is 1902911837 and holds a License No. ME0061078 (Florida).

The current practice location address for Madhusudana Kalakota is 1920 North Central Ave, Kissimmee, FL and can be reached out via phone at 407-931-2991 and via fax at 407-933-4699.

Location: 1920 North Central Ave, Kissimmee, FL, 34741-2331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902911837
Provider Name
Madhusudana Kalakota
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1920 North Central Ave, Kissimmee, FL, 34741-2331
Phone Number
407-931-2991
Fax Number
407-933-4699
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
593368006 01 FL TAX ID
370719900 05 FL
ME0061078 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1920 North Central Ave
City
Kissimmee
State
Florida
Zip
34741-2373
Phone Number
407-931-2991
Fax Number
407-933-4699
person
Provider Business Mailing Address Details
Address
1920 North Central Ave
City
Kissimmee
State
Florida
Zip
34741-2373
Phone Number
407-931-2991
Fax Number
407-933-4699
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0061078 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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