Provider Demographics
NPI:1114168028
Name:BRIDGEMAN-SHAH, SHARON E (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:E
Last Name:BRIDGEMAN-SHAH
Suffix:
Gender:F
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:HOWARD UNIVERSITY HOSPITAL
Mailing Address - Street 2:2041 GEORGIA AVENUE N.W. STE 2107
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-6725
Mailing Address - Fax:202-865-1757
Practice Address - Street 1:HOWARD UNIVERSITY HOSPITAL
Practice Address - Street 2:2041 GEORGIA AVENUE N.W. STE 2107
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-6725
Practice Address - Fax:202-865-1757
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD21597207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology