Individual
SARA ALICE KALTREIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 PETER JEFFERSON PKWY, SUITE 140, CHARLOTTESVILLE, VA 22911-8605
(434) 244-8610
(434) 244-8611
Mailing address
630 PETER JEFFERSON PKWY, SUITE 140, CHARLOTTESVILLE, VA 22911-8605
(434) 244-8610
(434) 244-8611
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101033508
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1480129
CIGNA
VA
01
—
195459
ANTHEM SERVICES
VA
01
—
436847
SOUTHERN HEALTH
VA
01
—
66360
COMMUNITY HEALTH
VA
01
—
P00435219
MEDICARE PIN
VA
Enumeration date
02/10/2006
Last updated
06/14/2010
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