MEDICARE: DR. MICHAEL GREGORY KALDIS 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
1	207X00000X	Orthopaedic Surgery Physician	G8208	TX
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	G8208	TX

General Provider Information

NPI Number	:	1952309577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL GREGORY KALDIS M.D.

Provider Business Mailing Address
First Line	:	3302 PLUMB ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2924
Country	:	US
Telephone Number	:	713-333-4120
Fax Number	:	713-333-4121

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST
Second Line	:	SUITE 1016
City	:	HOUSTON
State	:	TX
Zip	:	77030-2761
Country	:	US
Telephone Number	:	713-333-4120
Fax Number	:	713-333-4121

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	02/09/2012

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