Provider Demographics
NPI:1730170440
Name:TURBAN, SHARON I (MD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:I
Last Name:TURBAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 E MONUMENT ST
Mailing Address - Street 2:SUITE 416
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-2100
Mailing Address - Country:US
Mailing Address - Phone:410-955-5268
Mailing Address - Fax:410-955-0485
Practice Address - Street 1:1830 E MONUMENT ST
Practice Address - Street 2:SUITE 416
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2100
Practice Address - Country:US
Practice Address - Phone:410-955-5268
Practice Address - Fax:410-955-0485
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056439207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H84559Medicare UPIN
011700I06Medicare ID - Type Unspecified