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NPI Code Detail

MEDICARE: ANDREI CALLEJAS MD

MEDICARE: ANDREI CALLEJAS MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramTX
2207P00000XEmergency Medicine PhysicianA205486CA
3390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1396301875
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREI CALLEJAS MD
Provider Business Mailing Address
First Line : 1002 KENYON ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2418
Country : US
Telephone Number : 202-867-7533
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL PLAZA DR
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-3037
Country : US
Telephone Number : 916-781-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2019
Last Update Date : 05/21/2026

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Directions to “ ANDREI CALLEJAS MD” Practice Location

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