Healthcare Provider Details

I. General information

NPI: 1447786199
Provider Name (Legal Business Name): CALI ROSE LUBRANT M/D/
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2017
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR
BETHESDA MD
20892-3017
US

IV. Provider business mailing address

10 CENTER DR
BETHESDA MD
20892-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35.152461
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD600003402
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: