MEDICARE: ARUN D SHERMA 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	207R00000X	Internal Medicine Physician	33509	AZ
2	207RC0000X	Cardiovascular Disease Physician	33509	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780685685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUN D SHERMA MD

Provider Business Mailing Address
First Line	:	PO BOX 3799
Second Line	:
City	:	PINETOP
State	:	AZ
Zip	:	85935-3799
Country	:	US
Telephone Number	:	928-367-9958
Fax Number	:	928-367-9960

Provider Business Practice Location Address
First Line	:	316 W WHITE MOUNTAIN BLVD
Second Line	:	STE B
City	:	LAKESIDE
State	:	AZ
Zip	:	85929-7015
Country	:	US
Telephone Number	:	928-367-9958
Fax Number	:	928-367-9960

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	11/07/2013

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Directions to “ ARUN D SHERMA MD” Practice Location

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