Healthcare Provider Details

I. General information

NPI: 1386962736
Provider Name (Legal Business Name): ASTHA KHANNA SHARMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASTHA KHANNA

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S WASHINGTON ST
NAPERVILLE IL
60540-7430
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-3136
  • Fax: 630-527-0231
Mailing address:
  • Phone: 847-570-2040
  • Fax: 847-733-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036132870
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number036132870
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: