Basic Information
Provider Information
NPI: 1487967006
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHARMA
FirstName: AMIT
MiddleName: KUMAR
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6200 WESTCHESTERPARK DRIVE
Address2: APT 916
City: COLLEGE PARK
State: MD
PostalCode: 20740
CountryCode: US
TelephoneNumber: 7742626418
FaxNumber:  
Practice Location
Address1: 3001 HOSPITAL DR
Address2: 5TH FLOOR DEPTT OF MEDICINE,PGHC
City: CHEVERLY
State: MD
PostalCode: 207851189
CountryCode: US
TelephoneNumber: 3016183776
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/24/2010
LastUpdateDate: 03/10/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X16772NHY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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