Provider Demographics
NPI:1023139706
Name:CALHOUN, ALICE ANN (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:ANN
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:301 RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-1243
Mailing Address - Country:US
Mailing Address - Phone:410-479-4306
Mailing Address - Fax:410-479-1714
Practice Address - Street 1:933 S TALBOT STREET
Practice Address - Street 2:UNIT 4
Practice Address - City:ST MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663-2633
Practice Address - Country:US
Practice Address - Phone:410-745-0200
Practice Address - Fax:410-745-0492
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE2366207Q00000X
MDD0066684207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD521116591OtherINFORMED
521116591OtherCOVENTRY
MD8173947OtherOPTIMUM CHOICEMDIPAMAMSI
MD892320OtherNCPPO
MDP17770OtherCAREFIRST BC/BS POS
MD2173947OtherMAMSI/ALLIANCE
MD521116591OtherTRICARE
7417121OtherAETNA
MD91412301OtherCAREFIRST BC/BS RENDERING
MD212339OtherPRIORITY PARTNERS
MD784381000Medicaid
MDT5880042OtherCF BC/BS GRP/GHMSI/BL CHO
MD521116591OtherMARYLAND PHYSICIAN CARE
MD6332791OtherCIGNA
521116591OtherCOVENTRY
MD521116591OtherMARYLAND PHYSICIAN CARE