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NPI Code Detail

MEDICARE: UMANG SHARMA MD

MEDICARE: UMANG 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
1207Q00000XFamily Medicine Physician036121432IL
2207Q00000XFamily Medicine PhysicianMD00045486WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036121432OTHERILSTATE LICENSE
2MD00045486OTHERWASTATE LICENCE

General Provider Information

NPI Number : 1952475436
Entity Type Code : Individual
Provider Name (Legal Business Name) : UMANG SHARMA MD
Provider Business Mailing Address
First Line : 9119 S EXCHANGE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60617-4225
Country : US
Telephone Number : 773-768-5000
Fax Number : 773-768-6153
Provider Business Practice Location Address
First Line : 5359 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-1450
Country : US
Telephone Number : 773-836-2785
Fax Number : 773-836-7381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 03/07/2023

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Directions to “ UMANG SHARMA MD” Practice Location

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