Provider Demographics
NPI:1558397745
Name:LALJI, KAMI (DPM)
Entity Type:Individual
Prefix:DR
First Name:KAMI
Middle Name:
Last Name:LALJI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 SOUTH STATE ROAD 7
Mailing Address - Street 2:APARTMENT 1-A
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33068
Mailing Address - Country:US
Mailing Address - Phone:954-235-6871
Mailing Address - Fax:954-491-5300
Practice Address - Street 1:2330 NE 53RD ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3212
Practice Address - Country:US
Practice Address - Phone:954-235-6871
Practice Address - Fax:954-491-5300
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3249213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV10799Medicare UPIN
FL5725580001Medicare NSC
FLU8509Medicare PIN