MEDICARE: PUJA 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
1	207Q00000X	Family Medicine Physician	11014701A	IN

General Provider Information

NPI Number	:	1427287010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PUJA SHARMA MD

Provider Business Mailing Address
First Line	:	1530 N 7TH ST STE 201
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47807-1061
Country	:	US
Telephone Number	:	812-238-7631
Fax Number	:	812-238-7003

Provider Business Practice Location Address
First Line	:	601 W NATIONAL AVE
Second Line	:
City	:	WEST TERRE HAUTE
State	:	IN
Zip	:	47885-1303
Country	:	US
Telephone Number	:	812-244-1515
Fax Number	:	812-244-1519

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

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	01/08/2025

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