Individual
DR. CLARITA L KALOVIDOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2109 DOCTORS PARK DR, COLUMBUS, IN 47203-2224
(812) 348-4080
(812) 348-4090
Mailing address
2109 DOCTORS PARK DR, COLUMBUS, IN 47203-2224
(812) 348-4080
(812) 348-4090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01028437A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000180287
ANTHEM BLUE CROSS
IN
01
—
002413
SIHO
IN
Enumeration date
06/23/2005
Last updated
10/04/2007
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