MEDICARE: VAGISHA 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	207VX0000X	Obstetrics Physician	M0270	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972543429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAGISHA SHARMA M.D.

Provider Business Mailing Address
First Line	:	2120 KENNEDY DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-3478
Country	:	US
Telephone Number	:	817-467-4454
Fax Number	:	817-461-1772

Provider Business Practice Location Address
First Line	:	1001 N WALDROP DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-4703
Country	:	US
Telephone Number	:	817-467-4454
Fax Number	:	817-461-1772

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	04/15/2009

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