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NPI Code Detail

MEDICARE: DR. ABHA SHARMA M.D.

MEDICARE: DR. ABHA 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
1208000000XPediatrics Physician4301084413MI
2208000000XPediatrics PhysicianA100671CA

General Provider Information

NPI Number : 1578771309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABHA SHARMA M.D.
Provider Business Mailing Address
First Line : 10787 LAUREL ST
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-3828
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10787 LAUREL ST
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-3828
Country : US
Telephone Number : 909-948-3964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 06/01/2022

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