Healthcare Provider Details

I. General information

NPI: 1649443524
Provider Name (Legal Business Name): VIVEK BIHIRI KALRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 SW 15TH AVE
OCALA FL
34471-1248
US

IV. Provider business mailing address

1818 SW 15TH AVE
OCALA FL
34471-1248
US

V. Phone/Fax

Practice location:
  • Phone: 352-671-4300
  • Fax: 352-732-8010
Mailing address:
  • Phone: 352-671-4300
  • Fax: 352-732-8010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME119450
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number97523
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: