MEDICARE: DR. PREETI KALLU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MT185422	PA
2	207R00000X	Internal Medicine Physician	ME108938	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01276478	OTHER	FL	MEDICARE RAILROAD PROVIDER NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164615829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PREETI KALLU MD

Provider Business Mailing Address
First Line	:	PO BOX 49106
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33743-9106
Country	:	US
Telephone Number	:	727-269-5618
Fax Number	:	727-265-3420

Provider Business Practice Location Address
First Line	:	508 S HABANA AVE STE 335
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4186
Country	:	US
Telephone Number	:	727-269-5618
Fax Number	:	727-265-3420

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	04/23/2020

Similar Medicare Providers

1275536351 — MS. SUZANNE R GLISSON N.P.
Practice Location Address:

508 S HABANA AVE STE 335
TAMPA, FL
33609-4186

Practice Phone: 813-872-3679
Practice Fax: 813-350-4095

1891914164 — DR. MICHAEL SCOTT MAHER M.D.
Practice Location Address:

508 S HABANA AVE STE 337
TAMPA, FL
33609-4186

Practice Phone: 813-801-9100
Practice Fax: 813-801-9150

1205689163 — YAQUELIN BLANCO GUERRA
Practice Location Address:

12705 TROWBRIDGE LN
TAMPA, FL
33624-4186

Practice Phone: 813-291-1245
Practice Fax:

1841039187 — RUBEN ESCALANTE GUARDARRAMOS
Practice Location Address:

12701 TROWBRIDGE LN
TAMPA, FL
33624-4186

Practice Phone: 813-735-7827
Practice Fax:

1689564643 — JANOWITZ MEDICAL
Practice Location Address:

5403 WILLIAM GRANT WAY
TAMPA, FL
33610-4186

Practice Phone: 678-682-6446
Practice Fax:

1366330904 — NYAH NEVILLE
Practice Location Address:

217 S MATANZAS AVE
TAMPA, FL
33609-3010

Practice Phone: 813-254-0482
Practice Fax:

Directions to “ DR. PREETI KALLU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.