MEDICARE: MALVIKA 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	207QS1201X	Sleep Medicine (Family Medicine) Physician	2024-01459	NC
2	207QS1201X	Sleep Medicine (Family Medicine) Physician	MD473467	PA
3	207RP1001X	Pulmonary Disease Physician	MD473467	PA
4	207RP1001X	Pulmonary Disease Physician	292031	MA

General Provider Information

NPI Number	:	1649765470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALVIKA SHARMA MD

Provider Business Mailing Address
First Line	:	1400 VFW PKWY
Second Line	:
City	:	WEST ROXBURY
State	:	MA
Zip	:	02132-4927
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 DUKE MEDICINE CIR # 1L
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-4927
Country	:	US
Telephone Number	:	919-681-1700
Fax Number	:

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

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	09/15/2024

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