Provider Demographics
NPI:1104186923
Name:KALIDAS, AMAR KIRTI (DO)
Entity Type:Individual
Prefix:DR
First Name:AMAR
Middle Name:KIRTI
Last Name:KALIDAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6651 VINELAND RD STE 150
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7835
Mailing Address - Country:US
Mailing Address - Phone:407-355-9246
Mailing Address - Fax:
Practice Address - Street 1:6651 VINELAND RD STE 150
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7835
Practice Address - Country:US
Practice Address - Phone:407-355-9246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-26
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11725207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine