Individual
DR. ANGELA M TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7070 SAMUEL MORSE DR, KAISER PERMANENTE MEDICAL CENTER, COLUMBIA, MD 21046-3424
(410) 309-4646
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICAREENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D52295
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467550900
—
MD
01
—
KJ50GB/54720303
CAREFIRST MARYLAND
MD
01
—
S139/0020
CAREFIRST REGIONAL
MD
Enumeration date
07/25/2006
Last updated
12/01/2021
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