MEDICARE: SYNERGY MEDICAL GROUP, LLC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
4	207RG0100X	Gastroenterology Physician
5	207RH0000X	Hematology (Internal Medicine) Physician
6	207RI0200X	Infectious Disease Physician
7	207RP1001X	Pulmonary Disease Physician
8	207RR0500X	Rheumatology Physician
9	207W00000X	Ophthalmology Physician
10	2086S0129X	Vascular Surgery Physician
11	208800000X	Urology Physician
12	208D00000X	General Practice Physician
13	208VP0000X	Pain Medicine Physician
14	213E00000X	Podiatrist
15	207RN0300X	Nephrology Physician

NPI Number	:	1629920855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY MEDICAL GROUP, LLC

Provider Business Mailing Address
First Line	:	1205 YORK RD STE 11
Second Line	:
City	:	TIMONIUM
State	:	MD
Zip	:	21093-6211
Country	:	US
Telephone Number	:	443-325-0031
Fax Number	:

Provider Business Practice Location Address
First Line	:	347 BALLENGER CENTER DR
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-7095
Country	:	US
Telephone Number	:	301-663-5181
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAMAL SALAH H SEWARALTHAHAB
Credential	:	MD
Telephone Number	:	443-325-0031

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

347 BALLENGER CTR DR
FREDERICK, MD
21703-7095

Practice Phone: 301-663-5181
Practice Fax: 301-663-3950