Provider Demographics
NPI:1467560839
Name:SCHARFF, DAVID SAMUEL (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:SAMUEL
Last Name:SCHARFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 S CONKLING ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4354
Mailing Address - Country:US
Mailing Address - Phone:410-327-7114
Mailing Address - Fax:410-327-7116
Practice Address - Street 1:808 S CONKLING ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4354
Practice Address - Country:US
Practice Address - Phone:410-327-7114
Practice Address - Fax:410-327-7116
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0042908207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD755801500Medicaid
MD8339DS 52527102OtherCAREFIRST MD
DCE079 0001OtherCAREFIRST
F29207Medicare UPIN
MD8339DS 52527102OtherCAREFIRST MD