Basic Information
| Provider Information | |||||||||
| NPI: | 1760536650 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHARMA | ||||||||
| FirstName: | MANOJ | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 SW 7TH ST | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666062489 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852958359 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1700 SW 7TH STREET | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666061690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852958359 | ||||||||
| FaxNumber: | 7852315988 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2007 | ||||||||
| LastUpdateDate: | 01/25/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 2008007036 | MO | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 2008007036 | MO | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 04-32402 | KS | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.