Provider Demographics
NPI:1356442438
Name:SHARMA, DESH P (MD)
Entity Type:Individual
Prefix:
First Name:DESH
Middle Name:P
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900N. PECOS RD
Mailing Address - Street 2:1A216
Mailing Address - City:N. LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086
Mailing Address - Country:US
Mailing Address - Phone:410-688-5470
Mailing Address - Fax:702-224-6908
Practice Address - Street 1:6900N. PECOS RD
Practice Address - Street 2:1A216
Practice Address - City:N. LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086
Practice Address - Country:US
Practice Address - Phone:410-688-5470
Practice Address - Fax:702-224-6908
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD31856207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD408341500Medicaid
830001659OtherMEDICARE RAILROAD
W272 0001OtherCAREFIRST FEDERAL
D74704Medicare UPIN
W272 0001OtherCAREFIRST FEDERAL