Healthcare Provider Details

I. General information

NPI: 1417982158
Provider Name (Legal Business Name): ATUL NARAYAN SHARMA MD, FACP, MPH, CHES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 S MCCLINTOCK DR STE 110
TEMPE AZ
85282-5877
US

IV. Provider business mailing address

PO BOX 860912
MINNEAPOLIS MN
55486-0912
US

V. Phone/Fax

Practice location:
  • Phone: 602-742-0370
  • Fax: 928-460-8476
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number71312
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: