Healthcare Provider Details

I. General information

NPI: 1043155187
Provider Name (Legal Business Name): SYNERGY SURGICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 YORK RD STE 200
LUTHERVILLE MD
21093-6090
US

IV. Provider business mailing address

1300 YORK RD STE 200
LUTHERVILLE MD
21093-6090
US

V. Phone/Fax

Practice location:
  • Phone: 443-325-0031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KAMAL SEWARALTHAHAB
Title or Position: OWNER
Credential: MD
Phone: 443-325-0031