Provider Demographics
NPI:1275693616
Name:SHARMA, CHANDI P (MD)
Entity Type:Individual
Prefix:
First Name:CHANDI
Middle Name:P
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3681 AUDITORIUM WAY
Mailing Address - Street 2:DR CHANDI P SHARMA MDPC
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30337
Mailing Address - Country:US
Mailing Address - Phone:404-766-5361
Mailing Address - Fax:404-766-5362
Practice Address - Street 1:3681 AUDITORIUM WAY
Practice Address - Street 2:DR CHANDI P SHARMA MDPC
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337
Practice Address - Country:US
Practice Address - Phone:404-766-5361
Practice Address - Fax:404-766-5362
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA017736207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000143954EMedicaid
D30793Medicare UPIN