Healthcare Provider Details

I. General information

NPI: 1225227846
Provider Name (Legal Business Name): SAWHNEY NEUROLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CRAIN HWY S SUITE 202
GLEN BURNIE MD
21061-5577
US

IV. Provider business mailing address

1600 CRAIN HWY S SUITE 202
GLEN BURNIE MD
21061-5577
US

V. Phone/Fax

Practice location:
  • Phone: 410-761-7900
  • Fax:
Mailing address:
  • Phone: 410-761-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PAVANJIT KAUR SAWHNEY
Title or Position: OWNER
Credential: MD
Phone: 410-761-7900