Healthcare Provider Details

I. General information

NPI: 1033177852
Provider Name (Legal Business Name): SHARAD R SATYAL M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 EASTERN SHORE DR
SALISBURY MD
21804-6410
US

IV. Provider business mailing address

914A EASTERN SHORE DR
SALISBURY MD
21804-6410
US

V. Phone/Fax

Practice location:
  • Phone: 410-546-1331
  • Fax: 410-543-8107
Mailing address:
  • Phone: 410-546-1331
  • Fax: 410-543-8107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0062172
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: