Doctor Name: | MR. SHIRISH KAMALAKAR KIRTANE |
NPI Number: | 1982693115 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0038048 |
Business Practice Address: | 210 N. Westmonte Dr Suite #1000 Altamonte Springs, FL - 32714 |
Business Phone Number: | 4077887844 |
Business Fax Number: | 4076826071 |
Mailing Address: | P.o. Box 160127, ALTAMONTE SPRINGS |
State: | FL |
Postal Code: | 32716 |
Phone Number: | 4077887844 |
Fax Number: | 4076826071 |
NPI Enumeration Date: | 10/20/2005 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0038048 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |