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NPI Code Detail

MEDICARE: SUMIT SHARMA MD

MEDICARE: SUMIT 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
1207R00000XInternal Medicine Physician37258IA
2207R00000XInternal Medicine Physician35.094650OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11891887790OTHEROHFACILITY FQHC NPI #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33618391OTHERPRACTICE FACILITY PTAN #
41760659171OTHEROHFACILITY FEE FOR SERVICE NPI #
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306047154
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMIT SHARMA MD
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 614-702-7915
Fax Number : 614-965-6534
Provider Business Practice Location Address
First Line : 50 N WILSON RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-1214
Country : US
Telephone Number : 614-702-7915
Fax Number : 614-965-6534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 11/23/2021

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Directions to “ SUMIT SHARMA MD” Practice Location

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