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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

All providers in College Park, MD · Physician Assistant in Maryland

Sources for this page

Verify at the official NPI Registry.