Provider Demographics
NPI:1891835385
Name:KILICAL, BARAN (MD)
Entity type:Individual
Prefix:DR
First Name:BARAN
Middle Name:
Last Name:KILICAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 LUBRANO DR STE 301
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7568
Mailing Address - Country:US
Mailing Address - Phone:443-607-2299
Mailing Address - Fax:443-782-3488
Practice Address - Street 1:129 LUBRANO DR STE 301
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7568
Practice Address - Country:US
Practice Address - Phone:443-607-2299
Practice Address - Fax:443-782-3488
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035654207RC0000X
VA0101240455207RC0000X
MDD0063569207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease