MEDICARE: KAMI LALJI, D.P.M.,P.A.

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	213E00000X	Podiatrist	PO3249	FL

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	:	1679703631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAMI LALJI, D.P.M.,P.A.

Provider Business Mailing Address
First Line	:	2330 NE 53RD ST
Second Line	:
City	:	FT. LAUDERDALE
State	:	FL
Zip	:	33308-3212
Country	:	US
Telephone Number	:	954-772-5380
Fax Number	:

Provider Business Practice Location Address
First Line	:	2330 NE 53RD ST
Second Line	:
City	:	FT. LAUDERDALE
State	:	FL
Zip	:	33308-3212
Country	:	US
Telephone Number	:	954-772-5380
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. KAMI LALJI
Credential	:	D.P.M
Telephone Number	:	954-772-5380

Provider Enumeration Date	:	07/23/2009
Last Update Date	:	05/19/2010

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