Basic Information
Provider Information
NPI: 1578081444
EntityType: 2
ReplacementNPI:  
OrganizationName: ROHIT SHARMA, MD, INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: PO BOX 90911
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931900911
CountryCode: US
TelephoneNumber: 8055697451
FaxNumber: 8055697890
Practice Location
Address1: 400 W PUEBLO ST
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931054353
CountryCode: US
TelephoneNumber: 8055697451
FaxNumber: 8055697890
Other Information
ProviderEnumerationDate: 08/31/2017
LastUpdateDate: 08/31/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SHARMA
AuthorizedOfficialFirstName: ROHIT
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 8055697451
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XA120300CAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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