MEDICARE: MANOJ K. SHARMA DO PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1457954604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANOJ K. SHARMA DO PLLC

Provider Business Mailing Address
First Line	:	2931 N TENAYA WAY STE 206
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0458
Country	:	US
Telephone Number	:	702-291-8511
Fax Number	:	702-832-0693

Provider Business Practice Location Address
First Line	:	2931 N TENAYA WAY STE 206
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0458
Country	:	US
Telephone Number	:	702-291-8511
Fax Number	:	702-832-0693

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MANOJ K SHARMA
Credential	:	DO
Telephone Number	:	702-291-8511

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	01/11/2024

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