Basic Information
| Provider Information | |||||||||
| NPI: | 1871527937 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHARMA | ||||||||
| FirstName: | DAYA | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 791523 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212791523 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2394328331 | ||||||||
| FaxNumber: | 8134992580 | ||||||||
| Practice Location | |||||||||
| Address1: | 10750 COLUMBIA PIKE STE 501 | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209014460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015939035 | ||||||||
| FaxNumber: | 3015939036 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 02/03/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | D0041119 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RX0202X | MD20082 | DC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 207RX0202X | D0041119 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
ID Information
| ID | Type | State | Issuer | Description | 229991700 | 05 | MD | MEDICAID | 110248507 | 01 | DC | RAILROAD MEDICARE | OTHER | 035146100 | 05 | DC | MEDICAID | A8640002 | 01 | DC | BCBS | OTHER |