Healthcare Provider Details

I. General information

NPI: 1689737835
Provider Name (Legal Business Name): ANSUYA L KALRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2404 S SEACREST BLVD
BOYNTON BEACH FL
33435-6704
US

IV. Provider business mailing address

2404 S SEACREST BLVD
BOYNTON BEACH FL
33435-6704
US

V. Phone/Fax

Practice location:
  • Phone: 561-737-8244
  • Fax: 561-737-8409
Mailing address:
  • Phone: 561-737-8244
  • Fax: 561-737-8409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME42943
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: