NPI 1508210774 · live from the CMS NPI Registry
Sharada Baddela, M.D.
Family Medicine in Fulton, MD. National Provider Identifier 1508210774, active.
NPI record
| NPI | 1508210774 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 |
| Practice phone | 240-459-1800 |
| Mailing address | 6201 Greenleigh Ave, Middle River, MD 21220 |
| Enumerated | April 14, 2016 |
| Last updated | July 29, 2026 |
| Sole proprietor | No |
| Other names | Sharada Baharani |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | D90469 (MD) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.