Physician Compare National (NPI:1780817056)

HEALTHCARE PROVIDER: ARUN KALAVA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1780817056
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800015918
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140922001380
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KALAVA
	Individual professional last name
Provider First Name	ARUN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	375 S 12TH ST
	Group Practice or individual's line 1 address
City	TAMPA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	336025604
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M