Provider Demographics
NPI:1538283486
Name:KALYANI, SACHIN D (MD)
Entity Type:Individual
Prefix:DR
First Name:SACHIN
Middle Name:D
Last Name:KALYANI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7556 TEAGUE RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1213
Mailing Address - Country:US
Mailing Address - Phone:410-782-3233
Mailing Address - Fax:410-799-8585
Practice Address - Street 1:7556 TEAGUE RD
Practice Address - Street 2:SUITE 410
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1213
Practice Address - Country:US
Practice Address - Phone:410-782-3233
Practice Address - Fax:410-799-8585
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2018-04-04
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Provider Licenses
StateLicense IDTaxonomies
MDD65662207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD188614YB4RMedicare PIN