Healthcare Provider Details

I. General information

NPI: 1578406823
Provider Name (Legal Business Name): OUR LADY HEALTH OF THE SICK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 NW 15TH STREET RD
MIAMI FL
33125-1612
US

IV. Provider business mailing address

1032 E BRANDON BLVD # 1524
BRANDON FL
33511-5509
US

V. Phone/Fax

Practice location:
  • Phone: 561-370-2595
  • Fax:
Mailing address:
  • Phone: 561-370-2595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ABRAHAM KALATHOOR
Title or Position: PHYSICIAN
Credential: MD
Phone: 561-370-2595