Provider Demographics
NPI:1245389717
Name:CALLENDER, VALERIE DAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:DAWN
Last Name:CALLENDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12200 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9182
Mailing Address - Country:US
Mailing Address - Phone:301-249-0970
Mailing Address - Fax:301-249-4246
Practice Address - Street 1:12200 ANNAPOLIS RD
Practice Address - Street 2:SUITE 315
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9182
Practice Address - Country:US
Practice Address - Phone:301-249-0970
Practice Address - Fax:301-249-4246
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035709207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCCC1OtherBCBS MARYLAND INSURANCE
MD1025208OtherAETNA INSURANCE
MD42088OtherMDIPA INSURANCE
MDA6270001OtherBCBS INSURANCE
MDA6270001OtherBCBS INSURANCE
MDCCC1OtherBCBS MARYLAND INSURANCE
MD1025208OtherAETNA INSURANCE