Provider Demographics
NPI:1275663825
Name:AMITA SHARMA NAYYAR M.D., P.C.
Entity Type:Organization
Organization Name:AMITA SHARMA NAYYAR M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMITA
Authorized Official - Middle Name:S
Authorized Official - Last Name:NAYYAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:717-982-8885
Mailing Address - Street 1:355 N 21ST ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-3707
Mailing Address - Country:US
Mailing Address - Phone:717-731-8350
Mailing Address - Fax:717-731-8370
Practice Address - Street 1:355 N 21ST STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011
Practice Address - Country:US
Practice Address - Phone:717-731-8350
Practice Address - Fax:717-731-8370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-057672L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
109999Medicare PIN
G26974Medicare UPIN