Provider Demographics
NPI:1881078491
Name:KALAIDINA, ELIZAVETA (MD)
Entity type:Individual
Prefix:
First Name:ELIZAVETA
Middle Name:
Last Name:KALAIDINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 W END AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6014
Mailing Address - Country:US
Mailing Address - Phone:615-936-2727
Mailing Address - Fax:
Practice Address - Street 1:2611 W END AVE STE 210
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-6014
Practice Address - Country:US
Practice Address - Phone:615-936-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021036767207K00000X
IL036143990207R00000X
TN66455207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine