Provider Demographics
NPI:1942735238
Name:CALVARESI, EMILIA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:
Last Name:CALVARESI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE # LL2-134
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0002
Mailing Address - Country:US
Mailing Address - Phone:216-444-9484
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # LL-134
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1100
Practice Address - Country:US
Practice Address - Phone:216-444-9484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.142057207ZP0007X
UT10964148-1205207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology
No207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology