Provider Demographics
NPI:1083095616
Name:SHARMA, VISHAL KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:VISHAL
Middle Name:KUMAR
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1053 10TH STREET SW
Mailing Address - Street 2:UNIT 1302
Mailing Address - City:CALGARY
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T2R1S6
Mailing Address - Country:CA
Mailing Address - Phone:403-830-8790
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:646-501-6784
Practice Address - Fax:212-263-8090
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYP96580208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery