MEDICARE: DEEPAK 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
1	207P00000X	Emergency Medicine Physician	12275R	LA

General Provider Information

NPI Number	:	1952383028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEEPAK SHARMA M.D.

Provider Business Mailing Address
First Line	:	3601 JACKSON STREET EXT
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-3002
Country	:	US
Telephone Number	:	318-787-6877
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 JACKSON STREET EXT
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-3002
Country	:	US
Telephone Number	:	318-769-5000
Fax Number	:

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	05/13/2019

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