Provider Demographics
NPI:1376647883
Name:COHEN, SHARI R (MD)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:R
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:R
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9 PARK CENTER COURT
Mailing Address - Street 2:#150
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:410-902-7710
Mailing Address - Fax:410-902-4410
Practice Address - Street 1:9 PARK CENTER COURT
Practice Address - Street 2:#150
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:410-902-7710
Practice Address - Fax:410-902-4410
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044893208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD108851300Medicaid
MD108851300Medicaid