MEDICARE: MR. PREM S. KALIDINDI

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	183500000X	Pharmacist	52701	TX

General Provider Information

NPI Number	:	1699102699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PREM S. KALIDINDI

Provider Business Mailing Address
First Line	:	7267 NOTRE DAME DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3523
Country	:	US
Telephone Number	:	917-769-8014
Fax Number	:

Provider Business Practice Location Address
First Line	:	7267 NOTRE DAME DR STE 1
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3523
Country	:	US
Telephone Number	:	210-881-0474
Fax Number	:	210-569-6464

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

Provider Enumeration Date	:	10/04/2013
Last Update Date	:	12/18/2025

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Directions to “ MR. PREM S. KALIDINDI ” Practice Location

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