Healthcare Provider Details
I. General information
NPI: 1881897163
Provider Name (Legal Business Name): KARUN VASHISHT SHARMA M.D., PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/06/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 23RD ST NW
WASHINGTON DC
20037-2342
US
IV. Provider business mailing address
1315 DAVISWOOD DR
MC LEAN VA
22102-2222
US
V. Phone/Fax
- Phone: 202-476-1283
- Fax:
- Phone: 703-732-1249
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | 0101256566 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 0101256566 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | MD036721 |
| License Number State | DC |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | MD036721 |
| License Number State | DC |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | D0103559 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: