Provider Demographics
NPI:1225125867
Name:KAMDAR, REHANA M (MD)
Entity Type:Individual
Prefix:
First Name:REHANA
Middle Name:M
Last Name:KAMDAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 RIVERSIDE DR
Mailing Address - Street 2:#300
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994
Mailing Address - Country:US
Mailing Address - Phone:772-283-8890
Mailing Address - Fax:772-283-6946
Practice Address - Street 1:509 RIVERSIDE DR
Practice Address - Street 2:#300
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-283-8890
Practice Address - Fax:772-283-6946
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0045268208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL218579OtherHEALTHEASE
FL218579OtherHEALTHEASE