Healthcare Provider Details

I. General information

NPI: 1225013683
Provider Name (Legal Business Name): SHARMA SAITH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MEDICAL PARK DR
DOVER OH
44622-2073
US

IV. Provider business mailing address

5410 SOUTHLAKE DR
PACE FL
32571-7006
US

V. Phone/Fax

Practice location:
  • Phone: 330-364-8959
  • Fax:
Mailing address:
  • Phone: 269-762-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number26613
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35129556
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: