MEDICARE: SHARMA MEDICAL PC

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	207RG0100X	Gastroenterology Physician	7051	NV

General Provider Information

NPI Number	:	1861668097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARMA MEDICAL PC

Provider Business Mailing Address
First Line	:	2312 CEDARDALE PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6719
Country	:	US
Telephone Number	:	702-532-2208
Fax Number	:

Provider Business Practice Location Address
First Line	:	2312 CEDARDALE PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6719
Country	:	US
Telephone Number	:	702-532-2208
Fax Number	:

Authorized Official
Title or Position	:	MEMBER OWNER
Name	:	VISHVINDER SHARMA
Credential	:	MD
Telephone Number	:	702-532-2208

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	05/07/2008

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