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1306296157 NPI number — DIVYA SHARMA MD, FAAD

NPI Number: 1306296157
Health Care Provider/Practitioner: DIVYA SHARMA MD, FAAD

Information about “1306296157” NPI (DIVYA SHARMA MD, FAAD) exists in 1306296157 in HTML format HTML  |  1306296157 in plain Text format TXT  |  1306296157 in PDF (Portable Document Format) PDF  |  1306296157 in an XML format XML  formats.

NPI Number : 1306296157 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306296157",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHARMA",
    "FirstName": "DIVYA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD, FAAD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PROVIDER ENROLLMENT 41 MALL ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURLINGTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01805-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "781-744-8085",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "41 MALL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURLINGTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01805-4048",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "781-744-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/13/2016",
    "LastUpdateDate": "03/14/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207N00000X",
          "TaxonomyName": "Dermatology Physician",
          "LicenseNumber": "25MA10901700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207N00000X",
          "TaxonomyName": "Dermatology Physician",
          "LicenseNumber": "A179271",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207N00000X",
          "TaxonomyName": "Dermatology Physician",
          "LicenseNumber": "1018073",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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