Provider Demographics
NPI:1083659031
Name:SMITH, SHARON H (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:H
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11700 N MERIDIAN ST
Mailing Address - Street 2:STE 248
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4656
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:317-688-2816
Practice Address - Street 1:11700 N MERIDIAN ST
Practice Address - Street 2:STE 248
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4656
Practice Address - Country:US
Practice Address - Phone:317-688-4673
Practice Address - Fax:317-688-2816
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN010544322080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200341980Medicaid
IN247010BMedicare PIN
IN200341980Medicaid