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NPI Code Detail

MEDICARE: SAURABH SHARMA MD

MEDICARE:   SAURABH  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
12084N0400XNeurology PhysicianC204830CA
22084B0040XBehavioral Neurology & Neuropsychiatry Physician25MA10341399NJ
32084N0400XNeurology Physician25MA10341399NJ

General Provider Information

NPI Number : 1962753194
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAURABH SHARMA MD
Provider Business Mailing Address
First Line : 4140 W 190TH ST
Second Line :
City : TORRANCE
State : CA
Zip : 90504-5513
Country : US
Telephone Number : 310-423-6472
Fax Number : 310-423-0148
Provider Business Practice Location Address
First Line : 127 S SAN VICENTE BLVD STE A6600
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3311
Country : US
Telephone Number : 310-423-6472
Fax Number : 310-423-0148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2012
Last Update Date : 01/08/2026

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