Healthcare Provider Details

I. General information

NPI: 1972239291
Provider Name (Legal Business Name): SUNDUS SARDAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 RIVERSIDE DR STE A203
SALISBURY MD
21801-4704
US

IV. Provider business mailing address

560 RIVERSIDE DR STE A203
SALISBURY MD
21801-4704
US

V. Phone/Fax

Practice location:
  • Phone: 443-978-7319
  • Fax: 443-736-2226
Mailing address:
  • Phone: 443-978-7319
  • Fax: 443-736-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberD0105044
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: