Basic Information
Provider Information
NPI: 1093918971
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHARMA
FirstName: PARUL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21401 72ND AVE W
Address2:  
City: EDMONDS
State: WA
PostalCode: 980267702
CountryCode: US
TelephoneNumber: 4257742636
FaxNumber: 4257742688
Practice Location
Address1: 1909 214TH ST SE
Address2:  
City: BOTHELL
State: WA
PostalCode: 980214412
CountryCode: US
TelephoneNumber: 4254127200
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/07/2007
LastUpdateDate: 03/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500XOP60153539WAY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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