Individual
SHARADA BAHARANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8115 MAPLE LAWN BLVD STE 140, FULTON, MD 20759-2689
(240) 459-1800
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(304) 535-6343
(304) 535-4110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D90469
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
12/14/2020
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