Healthcare Provider Details

I. General information

NPI: 1821198714
Provider Name (Legal Business Name): DR. SUDARSHAN K. SHARMA, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N ELM ST
HINSDALE IL
60521-3765
US

IV. Provider business mailing address

121 N ELM ST
HINSDALE IL
60521-3765
US

V. Phone/Fax

Practice location:
  • Phone: 630-856-6757
  • Fax: 630-887-1668
Mailing address:
  • Phone: 630-856-6757
  • Fax: 630-887-1668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SUDARSHAN K. SHARMA
Title or Position: OWNER
Credential: M.D.
Phone: 630-856-6757