SYNERGY MEDICAL GROUP LLC - NPI 1235925140 - Internal Medicine in Baltimore, MD

Q: What is Synergy Medical Group LLC's NPI number?

The NPI number for Synergy Medical Group LLC is 1235925140. It was assigned to this organization in the NPPES registry on April 17, 2025. The provider is also known as Autumn Lake Alice Manor.

Q: What is Synergy Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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About Synergy Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYNERGY MEDICAL GROUP LLC (NPI 1235925140) is a healthcare organization registered as a nephrology in Baltimore, Maryland and active in the NPI registry since April 2025. The organization lists Kamal Salah H Sewaralthahab, Owner, as its authorized official.

NPPES Registry Identity

NPI1235925140

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameSYNERGY MEDICAL GROUP LLC

Location Address2095 ROCKROSE AVEBaltimore, MD 21211-1328

Mailing Address1205 York Rd Ste 11Lutherville, MD 21093-6211 · (443) 325-0031

Phone(410) 889-9700

Organization SubpartNo

Authorized OfficialKamal Salah H SewaralthahabOwner · (443) 325-0031

Enumeration DateApril 17, 2025

Last NPPES UpdateJune 2, 2025

NPPES CertifiedJune 2, 2025

✔ NPI 1235925140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedUrologyTaxonomy 208800000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

2095 ROCKROSE AVE, Baltimore, MD 21211

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Other Names 1

Other NameAutumn Lake Alice Manor

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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