Provider Demographics
NPI:1073649422
Name:MYINT, CALYA (MD)
Entity Type:Individual
Prefix:DR
First Name:CALYA
Middle Name:
Last Name:MYINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8430 BRIAR CREEK DRIVE
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:703-272-8355
Mailing Address - Fax:
Practice Address - Street 1:1905 E ST #14 SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003
Practice Address - Country:US
Practice Address - Phone:202-673-9319
Practice Address - Fax:202-698-3171
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD338222084P0800X
VA01012333842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G02056P02Medicare ID - Type Unspecified
137133Medicare UPIN