Provider Demographics
NPI:1114949088
Name:V SHARMA MD PC
Entity Type:Organization
Organization Name:V SHARMA MD PC
Other - Org Name:VANDANA RAJ SHARMA
Other - Org Type:Other Name
Authorized Official - Title/Position:MD PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VANDANA
Authorized Official - Middle Name:RAJ
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-778-1800
Mailing Address - Street 1:PO BOX 10761
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-8761
Mailing Address - Country:US
Mailing Address - Phone:703-778-1800
Mailing Address - Fax:703-778-1803
Practice Address - Street 1:2841 HARTLAND RD
Practice Address - Street 2:STE 402
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-3500
Practice Address - Country:US
Practice Address - Phone:703-778-1800
Practice Address - Fax:703-778-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010470642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
316289OtherOPTIMUM CHOICE
04322040OtherAETNA
B225OtherCAREFIRT BCBS
139262OtherANTHEM BCBS
F46919Medicare UPIN
316289OtherOPTIMUM CHOICE