Provider Demographics
NPI:1043258312
Name:SHARMA, SANJEEV (MD)
Entity Type:Individual
Prefix:
First Name:SANJEEV
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 WORCESTER RD
Mailing Address - Street 2:ROUTE 9 WEST
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-8917
Mailing Address - Country:US
Mailing Address - Phone:508-879-5111
Mailing Address - Fax:
Practice Address - Street 1:1319 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-8917
Practice Address - Country:US
Practice Address - Phone:508-879-5111
Practice Address - Fax:508-879-5115
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine