MEDICARE: DR. KIRAN NAIDOO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ACN1183	FL
2	208D00000X	General Practice Physician	21470	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659935369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRAN NAIDOO MD

Provider Business Mailing Address
First Line	:	28516 STATE ROAD 54
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-3210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	28516 STATE ROAD 54
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-3210
Country	:	US
Telephone Number	:	813-815-8391
Fax Number	:	877-409-1607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	09/08/2025

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