MEDICARE: DR. RICHA SHARMA M.D.

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	207RP1001X	Pulmonary Disease Physician	036123485	IL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036123485	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1437319290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHA SHARMA M.D.

Provider Business Mailing Address
First Line	:	700 E OGDEN AVE
Second Line	:	SUITE 202
City	:	WESTMONT
State	:	IL
Zip	:	60559-1398
Country	:	US
Telephone Number	:	630-789-9785
Fax Number	:	630-789-9798

Provider Business Practice Location Address
First Line	:	700 E OGDEN AVE
Second Line	:	SUITE 202
City	:	WESTMONT
State	:	IL
Zip	:	60559-1398
Country	:	US
Telephone Number	:	630-789-9785
Fax Number	:	630-789-9798

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

Provider Enumeration Date	:	06/13/2008
Last Update Date	:	11/18/2013

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