MEDICARE: DR. GIRIRAJ K. SHARMA MD, MS

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	207Y00000X	Otolaryngology Physician	A127561	CA
2	207Y00000X	Otolaryngology Physician	0101274538	VA
3	207YS0123X	Facial Plastic Surgery Physician	0101274538	VA
4	207YS0123X	Facial Plastic Surgery Physician	A127561	CA

General Provider Information

NPI Number	:	1780977066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIRIRAJ K. SHARMA MD, MS

Provider Business Mailing Address
First Line	:	360 SAN MIGUEL DR STE 409
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7822
Country	:	US
Telephone Number	:	949-688-7334
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 SAN MIGUEL DR STE 409
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7822
Country	:	US
Telephone Number	:	949-688-7334
Fax Number	:

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

Provider Enumeration Date	:	05/19/2011
Last Update Date	:	09/26/2023

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