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NPI Code Detail

MEDICARE: SYNERGY MEDICAL GROUP LLC

MEDICARE: SYNERGY MEDICAL GROUP LLC
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
1207R00000XInternal Medicine Physician
2207RC0000XCardiovascular Disease Physician
3207RE0101XEndocrinology, Diabetes & Metabolism Physician
4207RG0100XGastroenterology Physician
5207RH0000XHematology (Internal Medicine) Physician
6207RI0200XInfectious Disease Physician
7207RP1001XPulmonary Disease Physician
8207RR0500XRheumatology Physician
9207W00000XOphthalmology Physician
102086S0129XVascular Surgery Physician
11208800000XUrology Physician
12208D00000XGeneral Practice Physician
13208VP0000XPain Medicine Physician
14213E00000XPodiatrist
15207RN0300XNephrology Physician

General Provider Information

NPI Number : 1922966530
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 :
Fax Number :
Provider Business Practice Location Address
First Line : 2131 DAVIDSONVILLE RD
Second Line :
City : CROFTON
State : MD
Zip : 21114-1632
Country : US
Telephone Number : 410-721-1000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KAMAL SALAH H SEWARALTHAHAB
Credential : MD
Telephone Number : 443-325-0031
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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