Physician Compare National (NPI:1740265974)

HEALTHCARE PROVIDER: SUDARSHAN K SHARMA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740265974
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274564034
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050822001323
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHARMA
	Individual professional last name
Provider First Name	SUDARSHAN
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	GYNECOLOGICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OBSTETRICS/GYNECOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	SURGICAL ONCOLOGY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OBSTETRICS/GYNECOLOGY, SURGICAL ONCOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	121 N ELM ST
	Group Practice or individual's line 1 address
City	HINSDALE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605213765
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140122
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HINSDALE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140231
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EDWARD HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140304
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ADVENTIST BOLINGBROOK HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140288
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ADVOCATE GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	140065
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ADVENTIST LA GRANGE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1740265974)

HEALTHCARE PROVIDER: SUDARSHAN K SHARMA MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information