Healthcare Provider Details

I. General information

NPI: 1285617712
Provider Name (Legal Business Name): VASANTI N KHARKAR-SHARMA MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W LORAIN ST
OBERLIN OH
44074-1026
US

IV. Provider business mailing address

5620 SOUTHWYCK BLVD
TOLEDO OH
43614-1501
US

V. Phone/Fax

Practice location:
  • Phone: 440-775-1211
  • Fax:
Mailing address:
  • Phone: 800-288-8325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VASANTI N KHARKAR-SHARMA
Title or Position: PRESIDENT
Credential: MD
Phone: 440-775-9105