Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 0101050705 | VA |
Y | 111NN0400X | Neurology | D0045015 | MD |
N | 111NN0400X | Neurology | MD30628 | DC |
NPI | 1215064746 |
---|---|
Provider Name | Dr. Susan Duncan Calkins |
First Address | Rockville, MD 20852 |
Second Address | Kensington, MD 20895 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F70973 | (02) |