Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0092666 | MD |
N | 111NI0900X | Internist | D0092666 | MD |
Y | 207RG0300X | Geriatric Medicine | D0092666 | MD |
NPI | 1003278250 |
---|---|
Provider Name | Sharareh Sherry Badri |
First Address | Lutherville Timonium, MD 21093-3950 |
Second Address | Baltimore, MD 21239-2945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2016 |
Last Update Date | 02/12/2021 |