Healthcare Provider Details

I. General information

NPI: 1851561849
Provider Name (Legal Business Name): ANJALI SHARMA, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2008
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 HOSPITAL DRIVE SUITE 204
SACRAMENTO CA
95823
US

IV. Provider business mailing address

7501 HOSPITAL DRIVE SUITE 204
SACRAMENTO CA
95823
US

V. Phone/Fax

Practice location:
  • Phone: 916-681-2660
  • Fax: 916-681-2671
Mailing address:
  • Phone: 916-681-2660
  • Fax: 916-681-2671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA92737
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA-92737
License Number StateCA

VIII. Authorized Official

Name: ANJALI SHARMA
Title or Position: PHYSICIAN/PRESIDENT
Credential: M.D.
Phone: 916-681-2660