Provider Demographics
NPI:1417924663
Name:KALES, ARTHUR N (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:N
Last Name:KALES
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 1:8503 ARLINGTON BLVD
Mailing Address - Street 2:STE 400
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4629
Mailing Address - Country:US
Mailing Address - Phone:703-280-5390
Mailing Address - Fax:703-280-9596
Practice Address - Street 1:8503 ARLINGTON BLVD
Practice Address - Street 2:STE 400
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4629
Practice Address - Country:US
Practice Address - Phone:703-280-5390
Practice Address - Fax:703-280-9596
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101023291207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA3600048OtherUNITED HEALTHCARE
VA220663OtherTRIGON/ANTHEM
VA541795091OtherFX CTY COMM HEALTH
VA541795091OtherPHCS PPO/POS
VA500617-500574OtherAETNA HMO
VA504734OtherNCPPO
VA541795091OtherONE HEALTH PLAN
VA0870-001OtherBCBS NCA/CARE FIRST
VA541795091OtherTRICARE
VA112922OtherKAISER
VA500617-4091865OtherAETNA PPO
VA5983369003OtherCIGNA PPO/POS
VA1417924663Medicaid
VA316256-516259OtherMAMSI/OP CHOICE/ALLIANCE
VA5983369005OtherCIGNA HMO
VA0870-001OtherBCBS NCA/CARE FIRST
VA541795091OtherTRICARE
VA541795091OtherFX CTY COMM HEALTH
VA316256-516259OtherMAMSI/OP CHOICE/ALLIANCE