Provider Demographics
NPI:1649383324
Name:KAR, PRAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:PRAN
Middle Name:M
Last Name:KAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 COLUMBIA ST
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-3870
Mailing Address - Country:US
Mailing Address - Phone:407-872-3989
Mailing Address - Fax:407-872-3990
Practice Address - Street 1:514 COLUMBIA ST
Practice Address - Street 2:SUITE # 2
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3870
Practice Address - Country:US
Practice Address - Phone:407-872-3989
Practice Address - Fax:407-872-3990
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 63927207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000554889OtherANTHEM BC/BS
KY00503017Medicare PIN
KY000000554889OtherANTHEM BC/BS
KYP00476265Medicare PIN
KY00280062Medicare PIN
FLD20541Medicare UPIN