Provider Demographics
NPI:1629172341
Name:SAXENA, SHARMILA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARMILA
Middle Name:
Last Name:SAXENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHARMILA
Other - Middle Name:SARKAR
Other - Last Name:SAXENA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5929 MAPLEWOOD PARK PL
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1732
Mailing Address - Country:US
Mailing Address - Phone:301-717-5980
Mailing Address - Fax:301-530-9452
Practice Address - Street 1:1019 UNIVERSITY BLVD E
Practice Address - Street 2:LANGLEY MEDICAL CENTER FOR CHILDREN
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-3703
Practice Address - Country:US
Practice Address - Phone:301-434-4100
Practice Address - Fax:301-434-2477
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00312882080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine