Basic Information
Provider Information
NPI: 1548880297
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAALIM
FirstName: APRIL JOYCE
MiddleName: GINES
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9910 FRANKLIN SQUARE DR STE 2110
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212364902
CountryCode: US
TelephoneNumber: 4109336423
FaxNumber:  
Practice Location
Address1: 4940 EASTERN AVE RM 588
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212242735
CountryCode: US
TelephoneNumber: 4105500942
FaxNumber: 4105500443
Other Information
ProviderEnumerationDate: 04/23/2020
LastUpdateDate: 12/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XR186605MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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