Provider Demographics
NPI:1841291754
Name:CALLE, ANGELA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIA
Last Name:CALLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1111 BENFIELD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3002
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:410-729-5156
Practice Address - Street 1:129 LUBRANO DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7566
Practice Address - Country:US
Practice Address - Phone:410-266-5852
Practice Address - Fax:410-266-5095
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2012-05-24
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Provider Licenses
StateLicense IDTaxonomies
MDD0041479207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD012770OtherJHHC PROVIDER NUMBER
MD1328215OtherCIGNA PIN NUMBER
MD4567306OtherAETNA FEE FOR SERVICE
MD835475OtherMAMSI PRIMARY CARE
MD084431400Medicaid
MD80083143OtherRAILROAD MEDICARE
MD0460833OtherAETNA CAPITATED
MD523131-06OtherCAREFIRST RENDERING
MD7605-0012OtherCAREFIRST BLUECHOICE
MHP11964OtherCAREFIRST MPOS
MD235475OtherMAMSI SPECIALIST
MD523131-06OtherCAREFIRST RENDERING
MD80083143OtherRAILROAD MEDICARE