Healthcare Provider Details

I. General information

NPI: 1770527640
Provider Name (Legal Business Name): THOMAS D CALL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 SUNSET LANE SUITE 102
CULPEPER VA
22701
US

IV. Provider business mailing address

545 SUNSET LANE SUITE 102
CULPEPER VA
22701
US

V. Phone/Fax

Practice location:
  • Phone: 540-829-4374
  • Fax: 540-829-4178
Mailing address:
  • Phone: 540-829-4374
  • Fax: 540-829-4178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number0101021468
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number0101021468
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: