Provider Demographics
NPI:1134111883
Name:SHARMA, MADHO K (MD)
Entity Type:Individual
Prefix:DR
First Name:MADHO
Middle Name:K
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:974 INMAN AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1177
Mailing Address - Country:US
Mailing Address - Phone:908-561-0183
Mailing Address - Fax:732-225-2814
Practice Address - Street 1:974 INMAN AVE STE 1A
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1177
Practice Address - Country:US
Practice Address - Phone:908-561-0183
Practice Address - Fax:732-225-2814
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO30532207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0723606Medicaid
NJD06345Medicare UPIN