Provider Demographics
NPI:1023438793
Name:CALAF MD PC
Entity type:Organization
Organization Name:CALAF MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-423-4637
Mailing Address - Street 1:4467 OLD BRANCH AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1854
Mailing Address - Country:US
Mailing Address - Phone:301-899-1212
Mailing Address - Fax:301-899-3716
Practice Address - Street 1:4467 OLD BRANCH AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1854
Practice Address - Country:US
Practice Address - Phone:301-899-1212
Practice Address - Fax:301-899-3716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty