MEDICARE: MR. MAHENDRA DATT 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	208D00000X	General Practice Physician	AFE23505	CA

General Provider Information

NPI Number	:	1992046981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MAHENDRA DATT SHARMA M.D.

Provider Business Mailing Address
First Line	:	4106 GARDEN HWY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4106 GARDEN HWY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834
Country	:	US
Telephone Number	:	916-400-1993
Fax Number	:

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

Provider Enumeration Date	:	03/15/2013
Last Update Date	:	03/22/2026

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