Sana Bharde
Individual provider Active NPI Physician Assistant · College Park, MD
NPI 1649902826 · NPPES record last updated Jun 27, 2022
Key facts
- NPI
- 1649902826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 4701 Melbourne PL
College Park, MD 20740-2540 - Phone
- (301) 345-4400
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250326003938 | NC | Practitioner - Physician Assistant | 6507389962 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
4701 Melbourne PL
College Park, MD 20740-2540
Mailing address
3418 Table Mountain Pine Dr
Raleigh, NC 27616-4001
Other providers in College Park, MD
- Michael Jerome Berard
- Glenna Lee - Bernard
- Deborah L Berndtson
- Bestfit DME, Inc.
- Bethesda Clinics, LLC
- Mohammad Biglari
- Biocovidlab, LLC
- Christopher L Bishop
- Zigo Bity
- Fuh Blaisius
All providers in College Park, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.