Individual
SHEETAL HARISH WAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MBBS
Contact information
Practice address
10770 HICKORY RIDGE ROAD, COLUMBIA, MD 21044-3646
(410) 988-4013
Mailing address
10770 HICKORY RIDGE ROAD, COLUMBIA, MD 21044-3646
(410) 988-4013
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0072106
MD
2084N0600X
Clinical Neurophysiology Physician
D0072106
MD
390200000X
Student in an Organized Health Care Education/Training Program
0116018133
VA
Other
Enumeration date
05/21/2007
Last updated
11/30/2011
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