Healthcare Provider Details

I. General information

NPI: 1689089146
Provider Name (Legal Business Name): HIMANSHU SHARMA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2014
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SEYMOUR ST STE 601
HARTFORD CT
06106-5525
US

IV. Provider business mailing address

85 SEYMOUR ST STE 601
HARTFORD CT
06106-5525
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-2334
  • Fax:
Mailing address:
  • Phone: 860-972-2334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number55472
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number055472
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: