Provider Demographics
NPI:1932587151
Name:KALEVAR, ANANDA (MD)
Entity type:Individual
Prefix:DR
First Name:ANANDA
Middle Name:
Last Name:KALEVAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 BUSH STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:415-972-4600
Mailing Address - Fax:415-975-0999
Practice Address - Street 1:1445 BUSH STREET
Practice Address - Street 2:WEST COAST RETINA MEDICAL GROUP
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-972-4614
Practice Address - Fax:415-975-0999
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program