Individual ProviderOlivia KaluHospitalistAllopathic & Osteopathic PhysiciansPractice Address6801 Airport Blvd, Mobile, AL 36608-3709(251) 266-3580(251) 318-2678PECOS EnrollmentBased on the most recent information from CMS, provider Olivia Kalu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1215056817Provider TypeIndividualFull NameKalu, OliviaTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date3/28/2007Last Updated9/20/2024Contact InformationPractice LocationPractice Address6801 Airport Blvd, Mobile, AL 36608-3709Phone(251) 266-3580Fax(251) 266-3581Mailing LocationMailing AddressPO Box 36258, Belfast, ME 04915-1204Phone(251) 318-2678Fax(251) 405-9900Provider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense49590AlabamaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseC7-0003225DelawareCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense01065819AIndianaProvider IdentifiersIDDescriptionIssuerID000000640362DescriptionOtherIssuerANTHEM PROVIDER NUMBERIndianaID200973010DescriptionMedicaidIssuerUnlistedIndiana