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NPI Code Detail

MEDICARE: DR. KAILASH S AMRUTHUR M.D.

MEDICARE: DR. KAILASH S AMRUTHUR M.D.
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
12085R0202XDiagnostic Radiology PhysicianME110700FL
22085R0202XDiagnostic Radiology PhysicianMD493589PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164672556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAILASH S AMRUTHUR M.D.
Provider Business Mailing Address
First Line : 20340 NE 20TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33179-2208
Country : US
Telephone Number : 404-649-6600
Fax Number :
Provider Business Practice Location Address
First Line : 3501 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5421
Country : US
Telephone Number : 954-437-4800
Fax Number : 954-437-6628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2008
Last Update Date : 03/30/2026

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