Healthcare Provider Details

I. General information

NPI: 1265844146
Provider Name (Legal Business Name): RICHA SHARMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date: 01/07/2015
Reactivation Date: 03/24/2015

III. Provider practice location address

6245 SHERIDAN DR STE 116
AMHERST NY
14221-4827
US

IV. Provider business mailing address

7125 ORCHARD LAKE RD STE 120
WEST BLOOMFIELD MI
48322-3627
US

V. Phone/Fax

Practice location:
  • Phone: 866-607-2308
  • Fax: 248-855-5455
Mailing address:
  • Phone: 866-607-2308
  • Fax: 248-855-5455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number289784
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: