Provider Demographics
NPI:1497713283
Name:BARAL, SARAD R (M D)
Entity Type:Individual
Prefix:
First Name:SARAD
Middle Name:R
Last Name:BARAL
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:POCOMOKE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21851-1714
Mailing Address - Country:US
Mailing Address - Phone:410-957-9488
Mailing Address - Fax:410-957-9680
Practice Address - Street 1:1604 MARKET ST
Practice Address - Street 2:
Practice Address - City:POCOMOKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21851-1714
Practice Address - Country:US
Practice Address - Phone:410-957-9488
Practice Address - Fax:410-957-9680
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054422207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH01025Medicare UPIN
MD837M458FMedicare ID - Type Unspecified