Provider Demographics
NPI:1245373422
Name:KATYAL, SHARDA (MD)
Entity type:Individual
Prefix:DR
First Name:SHARDA
Middle Name:
Last Name:KATYAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARDA
Other - Middle Name:
Other - Last Name:KATYAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6900 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012
Mailing Address - Country:US
Mailing Address - Phone:202-782-3611
Mailing Address - Fax:
Practice Address - Street 1:6900 GEORGIA AVE NW # 3E-18
Practice Address - Street 2:WALTER REED AMC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0003
Practice Address - Country:US
Practice Address - Phone:202-782-3611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012405272083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine