Healthcare Provider Details

I. General information

NPI: 1982870929
Provider Name (Legal Business Name): KATHERINE RAINSFORD CALVO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR BLDG 10 RM 2A33 NIH/NCI/LP
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

10 CENTER DR BLDG 10 RM 2A33 NIH/NCI/LP
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-915-0102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberD0062001
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: