Provider Demographics
NPI:1285658112
Name:SHARMA, SHEO PRATAP (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEO
Middle Name:PRATAP
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 YORK RD STE A101
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6240
Mailing Address - Country:US
Mailing Address - Phone:443-394-0520
Mailing Address - Fax:443-394-0524
Practice Address - Street 1:1212 YORK RD STE A101
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6240
Practice Address - Country:US
Practice Address - Phone:443-394-0520
Practice Address - Fax:443-394-0524
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022638207VG0400X
MDD22638207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD132661900Medicaid
MD8272Medicare ID - Type Unspecified