MEDICARE: ALLERGY AND ASTHMA CLINIC OF MARYLAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1942830021	OTHER		NPPES

General Provider Information

NPI Number	:	1942830021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY AND ASTHMA CLINIC OF MARYLAND

Provider Business Mailing Address
First Line	:	8630 FENTON ST STE 522
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3829
Country	:	US
Telephone Number	:	517-802-7082
Fax Number	:

Provider Business Practice Location Address
First Line	:	8630 FENTON ST STE 522
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3829
Country	:	US
Telephone Number	:	517-802-7082
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VASIF CUNEYT KALFA
Credential	:	MD
Telephone Number	:	517-802-7082

Provider Enumeration Date	:	01/17/2020
Last Update Date	:	12/08/2020

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