Provider Demographics
NPI:1720067713
Name:SAHINCI, SEMRA (MD)
Entity Type:Individual
Prefix:
First Name:SEMRA
Middle Name:
Last Name:SAHINCI
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 1:166 DEFENSE HWY STE 303
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8926
Mailing Address - Country:US
Mailing Address - Phone:240-914-8721
Mailing Address - Fax:240-513-7104
Practice Address - Street 1:166 DEFENSE HWY STE 303
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-8926
Practice Address - Country:US
Practice Address - Phone:240-914-8721
Practice Address - Fax:240-513-7104
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061321207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD126387OtherJHHC
MD405199800Medicaid
MD64180604OtherBCBS
MD7007769OtherAETNA
DC0008OtherBCBS
MD1698049OtherAETNA HMO
MD7007769OtherAETNA
DC0008OtherBCBS
P00479857Medicare PIN