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NPI Code Detail

MEDICARE: DR. SUMAN SHARMA MD

MEDICARE: DR. SUMAN SHARMA MD
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
1207Q00000XFamily Medicine Physician35088218OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174648992
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUMAN SHARMA MD
Provider Business Mailing Address
First Line : 272 HOSPITAL RD
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-9031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1049 WESTERN AVE
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1104
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-775-2299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 12/17/2020

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