Provider Demographics
NPI:1861659740
Name:NARANG KALLA, SHERRY (MD)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:
Last Name:NARANG KALLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:NARANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6350 STEVENS FOREST RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3231
Mailing Address - Country:US
Mailing Address - Phone:443-283-8800
Mailing Address - Fax:443-283-8801
Practice Address - Street 1:6350 STEVENS FOREST RD
Practice Address - Street 2:SUITE 101
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046
Practice Address - Country:US
Practice Address - Phone:443-283-8800
Practice Address - Fax:443-283-8801
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2018-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD75842207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD297099YTGUMedicare PIN