Provider Demographics
NPI:1063892610
Name:CALO, RIAN (DO)
Entity type:Individual
Prefix:DR
First Name:RIAN
Middle Name:
Last Name:CALO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11870 GRAND PARK AVE APT 404
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-8693
Mailing Address - Country:US
Mailing Address - Phone:773-988-8835
Mailing Address - Fax:
Practice Address - Street 1:8901 ROCKVILLE PIKE BLDG 19
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-0219
Practice Address - Fax:301-295-0320
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02005033A208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN