Provider Demographics
NPI:1306881271
Name:GALANIS, CLIFFORD MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:MICHAEL
Last Name:GALANIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6404 CROOM STATION RD
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-9512
Mailing Address - Country:US
Mailing Address - Phone:301-627-1835
Mailing Address - Fax:301-627-1836
Practice Address - Street 1:12200 ANNAPOLIS RD STE 320
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9182
Practice Address - Country:US
Practice Address - Phone:301-218-3700
Practice Address - Fax:301-218-3909
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2020-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00508192080A0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine