MEDICARE: MIRALA SARZA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	OS021741	PA
2	207R00000X	Internal Medicine Physician	0102207004	VA
3	207R00000X	Internal Medicine Physician	H0105577	MD

General Provider Information

NPI Number	:	1639676588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRALA SARZA DO

Provider Business Mailing Address
First Line	:	6565 N CHARLES ST STE 203
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-5805
Country	:	US
Telephone Number	:	443-849-3760
Fax Number	:	443-849-8138

Provider Business Practice Location Address
First Line	:	502 W BROAD ST STE 2
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-3206
Country	:	US
Telephone Number	:	571-421-8431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2018
Last Update Date	:	01/06/2026

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Directions to “ MIRALA SARZA DO” Practice Location

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