MEDICARE: SANA KALEEM M.D.

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	207R00000X	Internal Medicine Physician	ME132823	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	:	1780099929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANA KALEEM M.D.

Provider Business Mailing Address
First Line	:	2614 HAWKS LANDING BLVD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-1754
Country	:	US
Telephone Number	:	727-743-2871
Fax Number	:

Provider Business Practice Location Address
First Line	:	2614 HAWKS LANDING BLVD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-1754
Country	:	US
Telephone Number	:	727-743-2871
Fax Number	:

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

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	07/11/2022

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