MEDICARE: DR. ANGELA MARIA CALLE M.D.

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	D0041479	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	80083143	OTHER	MD	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	012770	OTHER	MD	JHHC PROVIDER NUMBER
2	1328215	OTHER	MD	CIGNA PIN NUMBER
3	4567306	OTHER	MD	AETNA FEE FOR SERVICE
4	835475	OTHER	MD	MAMSI PRIMARY CARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	0460833	OTHER	MD	AETNA CAPITATED
8	523131-06	OTHER	MD	CAREFIRST RENDERING
9	7605-0012	OTHER	MD	CAREFIRST BLUECHOICE
10	P11964	OTHER	MH	CAREFIRST MPOS
11	235475	OTHER	MD	MAMSI SPECIALIST

General Provider Information

NPI Number	:	1841291754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA MARIA CALLE M.D.

Provider Business Mailing Address
First Line	:	1111 BENFIELD BLVD
Second Line	:	SUITE 200
City	:	MILLERSVILLE
State	:	MD
Zip	:	21108-3002
Country	:	US
Telephone Number	:	410-729-5100
Fax Number	:	410-729-5156

Provider Business Practice Location Address
First Line	:	129 LUBRANO DR
Second Line	:	SUITE 100
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7566
Country	:	US
Telephone Number	:	410-266-5852
Fax Number	:	410-266-5095

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	05/24/2012

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Directions to “ DR. ANGELA MARIA CALLE M.D.” Practice Location

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