Provider Demographics
NPI:1780099929
Name:KALEEM, SANA (MD)
Entity type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:KALEEM
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 1:2614 HAWKS LANDING BLVD
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-1754
Mailing Address - Country:US
Mailing Address - Phone:727-743-2871
Mailing Address - Fax:
Practice Address - Street 1:2614 HAWKS LANDING BLVD
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-1754
Practice Address - Country:US
Practice Address - Phone:727-743-2871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME132823207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine