MEDICARE: DOCTORS FIRST PROFESSIONAL CORPORATION

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053077263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTORS FIRST PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	12800 MIDDLEBROOK RD STE 400
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-5282
Country	:	US
Telephone Number	:	240-205-8182
Fax Number	:

Provider Business Practice Location Address
First Line	:	8600 SNOWDEN RIVER PKWY STE 207
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-1985
Country	:	US
Telephone Number	:	301-515-2901
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	JAKELYNE CALLEJAS
Credential	:
Telephone Number	:	301-412-0970

Provider Enumeration Date	:	11/11/2021
Last Update Date	:	07/07/2025

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Directions to “DOCTORS FIRST PROFESSIONAL CORPORATION ” Practice Location

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