Synergy Medical Group, LLC
Internal Medicine, Nephrology in Glen Burnie, MD. Organization (NPI-2).
NPI number1932051174
StatusActive
Last updated in NPPESFeb 11, 2026
Details
- NPI
- 1932051174
- Entity type
- Organization (NPI-2)
- Legal business name
- Synergy Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Feb 11, 2026
- Certification date
- Feb 11, 2026
- Last updated
- Feb 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | |
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | |
| 207RH0000X | Internal Medicine, Hematology | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 207RR0500X | Internal Medicine, Rheumatology | – | – | |
| 207W00000X | Ophthalmology | – | – | |
| 2086S0129X | – | – | ||
| 208800000X | Urology | – | – | |
| 208D00000X | General Practice | – | – | |
| 208VP0000X | – | – | ||
| 213E00000X | Podiatrist | – | – |
Other names
- Autumn Lake Healthcare At Baltimore Washington (Other Name)
Practice location
313 Hospital DrGlen Burnie, MD 21061-5803
Phone 410-761-1222
Mailing address
1205 York Rd Ste 11Timonium, MD 21093-6211
Phone 443-325-0031
Authorized official
Kamal Salah H Sewaralthahab
Owner
4433250031
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All 16 Nephrology Physician providers in Glen Burnie · All 2,953 providers in Glen Burnie
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