Healthcare Provider Details

I. General information

NPI: 1194513234
Provider Name (Legal Business Name): INTEGRAHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 HURLEY AVE
ROCKVILLE MD
20850-3118
US

IV. Provider business mailing address

9722 GROFFS MILL DR # 916
OWINGS MILLS MD
21117-6341
US

V. Phone/Fax

Practice location:
  • Phone: 301-762-8900
  • Fax: 301-838-0416
Mailing address:
  • Phone: 410-870-9380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAMAL SALAH H SEWARALTHAHAB
Title or Position: CO-OWNER
Credential: MD
Phone: 703-930-5700