Healthcare Provider Details

I. General information

NPI: 1821431016
Provider Name (Legal Business Name): SONIA SHARMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SONIA TANEJA

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MULBERRY ST
SCRANTON PA
18510-2369
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-703-8000
  • Fax: 570-703-7418
Mailing address:
  • Phone: 570-703-8000
  • Fax: 570-703-7418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD489525
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: