Provider Demographics
NPI:1265844146
Name:SHARMA, RICHA (MD)
Entity Type:Individual
Prefix:MS
First Name:RICHA
Middle Name:
Last Name:SHARMA
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 1:77 GOODELL STREET, SECOND FLOOR, SUITE 240T
Mailing Address - Street 2:UNIVERSITY AT BUFFALO DEPARTMENT OF FAMILY MEDICINE
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203
Mailing Address - Country:US
Mailing Address - Phone:716-816-7258
Mailing Address - Fax:716-845-6699
Practice Address - Street 1:77 GOODELL STREET, SECOND FLOOR, SUITE 240T
Practice Address - Street 2:UNIVERSITY AT BUFFALO DEPARTMENT OF FAMILY MEDICINE
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-816-7258
Practice Address - Fax:716-845-6699
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2015-03-24
Deactivation Date:2015-01-07
Deactivation Code:
Reactivation Date:2015-03-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program