Healthcare Provider Details

I. General information

NPI: 1700494226
Provider Name (Legal Business Name): SARA SALIBA RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2020
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7580 BUCKINGHAM BLVD STE 280
HANOVER MD
21076-3210
US

IV. Provider business mailing address

7580 BUCKINGHAM BLVD STE 220
HANOVER MD
21076-3210
US

V. Phone/Fax

Practice location:
  • Phone: 410-729-3360
  • Fax: 443-679-1389
Mailing address:
  • Phone: 410-729-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0107471
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: