MEDICARE: SATISH 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	2000405-650	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1730169319	OTHER	NV	PROVIDER NPI

General Provider Information

NPI Number	:	1225160500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SATISH SHARMA

Provider Business Mailing Address
First Line	:	5375 S FORT APACHE RD
Second Line	:	STE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7623
Country	:	US
Telephone Number	:	702-739-8323
Fax Number	:	702-736-1284

Provider Business Practice Location Address
First Line	:	5375 S FORT APACHE RD
Second Line	:	STE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7623
Country	:	US
Telephone Number	:	702-739-8323
Fax Number	:	702-736-1284

Authorized Official
Title or Position	:	OWNER
Name	:	SATISH SHARMA
Credential	:	MD
Telephone Number	:	702-739-8323

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	08/22/2020

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Directions to “SATISH SHARMA ” Practice Location

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