Provider Demographics
NPI:1689654824
Name:SARKAR, SAIYAD ALEEM (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIYAD
Middle Name:ALEEM
Last Name:SARKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 REDLAND COURT
Mailing Address - Street 2:SUITE 208
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3292
Mailing Address - Country:US
Mailing Address - Phone:410-494-7921
Mailing Address - Fax:410-902-8247
Practice Address - Street 1:9103 FRANKLIN SQUARE BLVD.
Practice Address - Street 2:SUITE 300
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3939
Practice Address - Country:US
Practice Address - Phone:410-682-5282
Practice Address - Fax:410-682-5286
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD62065207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK531Q373OtherMEDICARE PTAN
MD408855700Medicaid
MD408855700Medicaid