Provider Demographics
NPI:1376567735
Name:KALFA, VASIF CUNEYT SR (MD)
Entity Type:Individual
Prefix:DR
First Name:VASIF
Middle Name:CUNEYT
Last Name:KALFA
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2045 ASHER CT STE 200
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8444
Mailing Address - Country:US
Mailing Address - Phone:517-324-7020
Mailing Address - Fax:517-324-7021
Practice Address - Street 1:8630 FENTON ST STE 522
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3829
Practice Address - Country:US
Practice Address - Phone:240-531-2902
Practice Address - Fax:240-847-7061
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0088320207K00000X
MI4301080350207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0088320OtherMARYLAND STATE LICENSE
MI4613420TYPE10Medicaid
MD546024700Medicaid