=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235217225
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARI MIURA LING MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/01/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3001 S HANOVER ST ROOM NM533
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21225-1233
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-350-3934
-----------------------------------------------------
Fax | 410-350-3963
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10211 FEAGA FARM CT
-----------------------------------------------------
City | ELLICOTT CITY
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21042-4829
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-461-1599
-----------------------------------------------------
Fax | 410-461-3963
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207QG0300X
-----------------------------------------------------
Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number | D 47282
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | D 47282
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | D47282
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------