Fudia Kallay

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

201689 Issued in MD

Practice address

9909 Medical Center Dr
Rockville, MD 20850-6361

Phone

(240) 684-6150

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD/Endpoint/EBFEDD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1053996074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 ARCTIC TERN CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506361",
            "telephone_number": "240-684-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAY",
        "first_name": "FUDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "201689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Amin Kalhor, PSY. D.
• Shobila Kaligounder, MA, PHD CANDIDATE
• Delaney Kaliher
• Nelson Gustavo Neder Kalil, M.D.
• Lauren Celine Kaliszak, M. PSY.
• Kimberly Eleanor Kallin, FNP-C
• Mballu Kallon
• Misgana Elias Kallore
• Tsega Kallore
• Joel P Kalman, MD

• Family Medicine Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.