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
1	207R00000X	Internal Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
4	207RH0000X	Hematology (Internal Medicine) Physician
5	207RI0200X	Infectious Disease Physician
6	207RP1001X	Pulmonary Disease Physician
7	207RR0500X	Rheumatology Physician
8	208800000X	Urology Physician
9	208D00000X	General Practice Physician
10	208VP0000X	Pain Medicine Physician
11	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1962268417
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	:	LUTHERVILLE
State	:	MD
Zip	:	21093-6211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 POWDER MILL RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-1029
Country	:	US
Telephone Number	:	301-937-3939
Fax Number	:

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

Provider Enumeration Date	:	02/22/2024
Last Update Date	:	06/11/2025

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Directions to “SYNERGY MEDICAL GROUP LLC ” Practice Location

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