MEDICARE: SONALI SHARMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		MI

General Provider Information

NPI Number	:	1093640963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONALI SHARMA

Provider Business Mailing Address
First Line	:	47034 NORTHUMBERLAND ST
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48374-4320
Country	:	US
Telephone Number	:	248-924-8713
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 E IRVING PARK RD
Second Line	:
City	:	WOOD DALE
State	:	IL
Zip	:	60191-1639
Country	:	US
Telephone Number	:	630-595-2880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ SONALI SHARMA ” Practice Location

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