Provider Demographics
NPI:1013208461
Name:SITTAMBALAM, CHARMIAN D (MD)
Entity Type:Individual
Prefix:
First Name:CHARMIAN
Middle Name:D
Last Name:SITTAMBALAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9000 FRANKLIN SQUARE DR
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3901
Mailing Address - Country:US
Mailing Address - Phone:443-777-7155
Mailing Address - Fax:443-777-8877
Practice Address - Street 1:9000 FRANKLIN SQUARE DR
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3901
Practice Address - Country:US
Practice Address - Phone:443-777-7155
Practice Address - Fax:443-777-8877
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2015-09-09
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Provider Licenses
StateLicense IDTaxonomies
MDD0079068207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine