Healthcare Provider Details

I. General information

NPI: 1689256158
Provider Name (Legal Business Name): SARAN AYANNA HALL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7580 BUCKINGHAM BLVD STE 110
HANOVER MD
21076-3208
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 410-760-9400
  • Fax:
Mailing address:
  • Phone: 202-741-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberD0107444
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: