Healthcare Provider Details

I. General information

NPI: 1861980906
Provider Name (Legal Business Name): ARJUN LALIT KALARIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 08/12/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 S FALKENBURG RD SUITE 201
RIVERVIEW FL
33578-2594
US

IV. Provider business mailing address

850 W. RIO SALADO PARKWAY SUITE 201
TEMPE AZ
85281-3812
US

V. Phone/Fax

Practice location:
  • Phone: 813-910-0030
  • Fax: 913-654-0478
Mailing address:
  • Phone: 480-480-8330
  • Fax: 480-610-6189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME166438
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: