Provider Demographics
NPI:1568601573
Name:FITZPATRICK, SHERAHE BROWN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERAHE
Middle Name:BROWN
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8702 MILFORD AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5031
Mailing Address - Country:US
Mailing Address - Phone:301-495-9699
Mailing Address - Fax:
Practice Address - Street 1:8702 MILFORD AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5031
Practice Address - Country:US
Practice Address - Phone:301-495-9699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0042348208000000X
DCMD12526208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics