Individual
SUSHILA SHEORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11125 ROCKVILLE PIKE, STE 209, ROCKVILLE, MD 20852-3142
(301) 770-4669
Mailing address
12008 TITIAN WAY, POTOMAC, MD 20854-3343
(301) 251-2159
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0070001
MD
2080A0000X
Pediatric Adolescent Medicine Physician
D0070001
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420573100
—
MD
Enumeration date
12/21/2006
Last updated
09/16/2021
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