MEDICARE: DR. SUDHA KALVA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME129517	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336396878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUDHA KALVA MD

Provider Business Mailing Address
First Line	:	7350 SANDLAKE COMMONS BLVD STE 2215
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8031
Country	:	US
Telephone Number	:	407-226-3372
Fax Number	:	407-226-3372

Provider Business Practice Location Address
First Line	:	7350 SAND LAKE CMN STE 2215
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8031
Country	:	US
Telephone Number	:	407-226-3388
Fax Number	:	407-226-3372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	08/19/2021

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