Healthcare Provider Details

I. General information

NPI: 1144472614
Provider Name (Legal Business Name): EQUBAL KALANI MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S PINELLAS AVE SUITE S
TARPON SPRINGS FL
34689-1955
US

IV. Provider business mailing address

1501 S PINELLAS AVE SUITE S
TARPON SPRINGS FL
34689-1955
US

V. Phone/Fax

Practice location:
  • Phone: 727-943-2880
  • Fax: 727-943-2878
Mailing address:
  • Phone: 727-943-2880
  • Fax: 727-943-2878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: AFROSE KALANI
Title or Position: OFFICE MANAGER
Credential:
Phone: 727-943-2880