Provider Demographics
NPI:1295008829
Name:PADMAJA SHARMA MD INC
Entity Type:Organization
Organization Name:PADMAJA SHARMA MD INC
Other - Org Name:FREMONT OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:PADMAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-796-7104
Mailing Address - Street 1:3885 BEACON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1462
Mailing Address - Country:US
Mailing Address - Phone:510-796-7104
Mailing Address - Fax:510-793-8154
Practice Address - Street 1:3885 BEACON AVE STE A
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1462
Practice Address - Country:US
Practice Address - Phone:510-796-7104
Practice Address - Fax:510-793-8154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98104207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1689837569OtherNPI NUMBER