Healthcare Provider Details

I. General information

NPI: 1215422050
Provider Name (Legal Business Name): SHEHARYAR SARWAR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2018
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 N CHARLES ST
TOWSON MD
21204-6819
US

IV. Provider business mailing address

5318 ELIOTS OAK RD
COLUMBIA MD
21044-1902
US

V. Phone/Fax

Practice location:
  • Phone: 410-935-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberH0100606
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: