Provider Demographics
| NPI: | 1356488951 |
|---|---|
| Name: | ARYAL, SHARMILA (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | SHARMILA |
| Middle Name: | |
| Last Name: | ARYAL |
| 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: | 2617 BEL PRE RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SILVER SPRING |
| Mailing Address - State: | MD |
| Mailing Address - Zip Code: | 20906-2313 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 301-933-5442 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 10810 CONNECTICUT AVE |
| Practice Address - Street 2: | KAISER PERMANENTE KENSINGTON MEDICAL CENTER |
| Practice Address - City: | KENSINGTON |
| Practice Address - State: | MD |
| Practice Address - Zip Code: | 20895-2138 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 301-929-7100 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-01-31 |
| Last Update Date: | 2022-02-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| DC | MD035149 | 207Q00000X, 207R00000X |
| MD | D0061058 | 207Q00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| DC | 037011500 | Medicaid | |
| 123102 | Medicare UPIN | ||
| DC | 037011500 | Medicaid |