Healthcare Provider Details

I. General information

NPI: 1083316202
Provider Name (Legal Business Name): SHARMILA OJHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24795 PINEBROOK RD
CHANTILLY VA
20152-4239
US

IV. Provider business mailing address

25245 ORIBI PL
ALDIE VA
20105-3410
US

V. Phone/Fax

Practice location:
  • Phone: 703-542-7691
  • Fax:
Mailing address:
  • Phone: 202-257-8160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024186729
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: