MEDICARE: ROCHELLE SARGEANT-HARDY 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
1	207Q00000X	Family Medicine Physician	D37391	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548203722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE SARGEANT-HARDY M.D.

Provider Business Mailing Address
First Line	:	11004 FORESTGATE PL
Second Line	:
City	:	GLENN DALE
State	:	MD
Zip	:	20769-2046
Country	:	US
Telephone Number	:	301-464-5222
Fax Number	:

Provider Business Practice Location Address
First Line	:	12172 CENTRAL AVE
Second Line	:	100
City	:	MITCHELLVILLE
State	:	MD
Zip	:	20721-1900
Country	:	US
Telephone Number	:	301-249-2700
Fax Number	:	301-249-4559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	01/27/2015

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