Provider Demographics
NPI:1235217225
Name:LING, SHARI MIURA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:MIURA
Last Name:LING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHARI
Other - Middle Name:AKEMI
Other - Last Name:MIURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10211 FEAGA FARM CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-4829
Mailing Address - Country:US
Mailing Address - Phone:410-461-1599
Mailing Address - Fax:410-461-3963
Practice Address - Street 1:3001 S HANOVER ST
Practice Address - Street 2:ROOM NM533
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1233
Practice Address - Country:US
Practice Address - Phone:410-350-3934
Practice Address - Fax:410-350-3963
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD 47282207QG0300X, 207R00000X
MDD47282207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology