MEDICARE: JANET KAYE ONEAL D.O.

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	207Q00000X	Family Medicine Physician	H0043745	MD

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	31380001	OTHER	MD	CAREFIRST

General Provider Information

NPI Number	:	1265439509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET KAYE ONEAL D.O.

Provider Business Mailing Address
First Line	:	9709 STONEYBROOK DRIVE
Second Line	:	OFFICE AND RESIDENCE
City	:	KENSINGTON
State	:	MD
Zip	:	20895-3146
Country	:	US
Telephone Number	:	301-589-7441
Fax Number	:	301-495-8991

Provider Business Practice Location Address
First Line	:	9709 STONEYBROOK DRIVE
Second Line	:	OFFICE AND RESIDENCE
City	:	KENSINGTON
State	:	MD
Zip	:	20895-3146
Country	:	US
Telephone Number	:	301-589-7441
Fax Number	:	301-495-8991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	11/02/2012

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