Organization
SYNERGY MEDICAL GROUP LLC
Active
Other names
AUTUMN LAKE LOCH RAVEN NEPH
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL SALAH H SEWARALTHAHAB (OWNER)
(443) 325-0031
Entity
Organization
Contact information
Practice address
8720 EMGE RD, PARKVILLE, MD 21234-3504
(410) 870-9380
Mailing address
1205 YORK RD, LUTHERVILLE, MD 21093-6210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
06/02/2025
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