Berk, Sanders Harris

Berk, Sanders Harris is an sole proprietor health care provider with primary practice located at 15245 Shady Grove Rd Ste 370 , Rockville MD 20850-6237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Berk, Sanders Harris can be contacted via phone (240) 246-7414.

Contact Information

Primary practice address
15245 Shady Grove Rd Ste 370 Rockville MD 20850-6237
Fax: (240) 477-4364
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D0012529 Maryland

Profile Details

NPI number 1053310789
LBN Legal business name Berk, Sanders Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Mar 19th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053310789 NPPES
Maryland MEDICAID 411741700

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