MEDICARE: DR. SHIVA 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	2084P0800X	Psychiatry Physician	MD2022-1124	NM

General Provider Information

NPI Number	:	1619243193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIVA SHARMA MD

Provider Business Mailing Address
First Line	:	1650 FILLMORE ST APT 1006
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-1590
Country	:	US
Telephone Number	:	719-966-0534
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 MOUNTAIN ROAD PL NE STE N
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-7845
Country	:	US
Telephone Number	:	719-966-0534
Fax Number	:

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

Provider Enumeration Date	:	03/28/2012
Last Update Date	:	10/17/2025

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