Provider Demographics
NPI:1710144811
Name:KALRA, LALIT (MD)
Entity Type:Individual
Prefix:DR
First Name:LALIT
Middle Name:
Last Name:KALRA
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 1:5670 54TH AVE N STE A-1
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-2067
Mailing Address - Country:US
Mailing Address - Phone:727-548-0260
Mailing Address - Fax:727-548-0270
Practice Address - Street 1:5670 54TH AVE N
Practice Address - Street 2:STE A1
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-2068
Practice Address - Country:US
Practice Address - Phone:727-548-0260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-18
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113329207R00000X
FLME 113329207RI0200X, 207RI0200X
MDD0069218208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist