Healthcare Provider Details

I. General information

NPI: 1649383324
Provider Name (Legal Business Name): PRAN M KAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 COLUMBIA ST SUITE # 2
ORLANDO FL
32805-3870
US

IV. Provider business mailing address

514 COLUMBIA ST SUITE # 2
ORLANDO FL
32805-3870
US

V. Phone/Fax

Practice location:
  • Phone: 407-872-3989
  • Fax: 407-872-3990
Mailing address:
  • Phone: 407-872-3989
  • Fax: 407-872-3990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME 63927
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: