Healthcare Provider Details

I. General information

NPI: 1326272501
Provider Name (Legal Business Name): NEETU SHARMA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NEETU GANDHI M.D

II. Dates (important events)

Enumeration Date: 05/04/2009
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1129 W 14 MILE RD # 1055
CLAWSON MI
48017-2801
US

IV. Provider business mailing address

1129 W 14 MILE RD # 1055
CLAWSON MI
48017-2801
US

V. Phone/Fax

Practice location:
  • Phone: 844-792-4207
  • Fax: 313-490-1519
Mailing address:
  • Phone: 844-792-4207
  • Fax: 313-490-1519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number57 . 020519
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number4301092424
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: