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NPI Code Detail

MEDICARE: SARO SARKISIAN M.D.

MEDICARE: SARO SARKISIAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianMD449103PA
2207RH0003XHematology & Oncology PhysicianD0090258MD

General Provider Information

NPI Number : 1164735387
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARO SARKISIAN M.D.
Provider Business Mailing Address
First Line : PO BOX 37086
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3086
Country : US
Telephone Number : 240-439-8812
Fax Number :
Provider Business Practice Location Address
First Line : 1562 OPOSSUMTOWN PIKE
Second Line :
City : FREDERICK
State : MD
Zip : 21702-4920
Country : US
Telephone Number : 301-662-8477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2010
Last Update Date : 07/21/2021

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