Naidu, Kistama

Naidu, Kistama is an sole proprietor health care provider with primary practice located at 18503 Pines Blvd Suite# 304, Pembroke Pines FL 33029-1404. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Naidu, Kistama can be contacted via phone (954) 805-3588.

Contact Information

Primary practice address
18503 Pines Blvd Suite# 304 Pembroke Pines FL 33029-1404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN 17002 Florida

Profile Details

NPI number 1528260585
LBN Legal business name Naidu, Kistama
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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