Provider Demographics
NPI:1821082330
Name:KALVARIA, ISAAC (MD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:KALVARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 ARLINGTON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3502
Mailing Address - Country:US
Mailing Address - Phone:941-894-3490
Mailing Address - Fax:941-870-7896
Practice Address - Street 1:1801 ARLINGTON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3502
Practice Address - Country:US
Practice Address - Phone:941-894-3490
Practice Address - Fax:941-870-7896
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50532207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME50532OtherME#
FLME50532OtherME#
FLD57897Medicare UPIN