NPI 1669652590 · live from the CMS NPI Registry
Alain G Champaloux, MD
Family Medicine in Upper Marlboro, MD. National Provider Identifier 1669652590, active.
NPI record
| NPI | 1669652590 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 14314 Old Marlboro Pike, Upper Marlboro, MD 20772 |
| Practice phone | 301-627-3500 |
| Enumerated | November 8, 2007 |
| Last updated | November 8, 2007 |
| Authorized official | Alain Champaloux, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | D0042049 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.