Healthcare Provider Details

I. General information

NPI: 1417342858
Provider Name (Legal Business Name): ABHINEET SHARMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DR. MONTI SHARMA

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 DODGE ST
OMAHA NE
68114-4113
US

IV. Provider business mailing address

215 SADDLE WOOD DR
NOVATO CA
94945-3447
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-5400
  • Fax:
Mailing address:
  • Phone: 925-360-8027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number33352
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number33352
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33352
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: