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1114214459

NPI Code Detail

MEDICARE: DR. MANU SHARMA MD

MEDICARE: DR. MANU SHARMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2011-01109	NC
2	208000000X	Pediatrics Physician	201101109	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1114214459	OTHER	NC	HEALTHSMART
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4015451	OTHER	NC	COVENTRY NATIONAL - COVENTRY PPO
4	9777745	OTHER	NC	AETNA
5	1114214459	OTHER	NC	HUMANA
6	1305465	OTHER	NC	COVENTRY OF THE CAROLINAS
7	1305465	OTHER	NC	1ST HEALTH
8	4015451	OTHER	NC	GEHA/MAILHANDLERS
9	1114214459	OTHER	NC	HEALTHNET FEDERAL SERVICES
10	13037216	OTHER	NC	PHCS-MULTIPLAN
11	1965107	OTHER	NC	CIGNA-GREATWEST
12	167VJ	OTHER	NC	BCBS OF NC
13	1305465	OTHER	NC	WELLPATH
14	237960	OTHER	NC	MEDCOST
15	3369235	OTHER	NC	UNITED HEALTHCARE
16	FH1101535	OTHER	NC	FIRST CAROLINA CARE

General Provider Information

NPI Number	:	1114214459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANU SHARMA MD

Provider Business Mailing Address
First Line	:	3301 QUARRY DRIVE
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303
Country	:	US
Telephone Number	:	646-318-4992
Fax Number	:

Provider Business Practice Location Address
First Line	:	3436 N MAIN ST
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-1834
Country	:	US
Telephone Number	:	910-426-7337
Fax Number	:	910-424-1418

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	05/31/2017

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Directions to “ DR. MANU SHARMA MD” Practice Location

Language	Start Address	Practice Location

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