Provider Demographics
NPI:1376970673
Name:SHARMA FAMILY MEDICINE & CONSULTING PC
Entity Type:Organization
Organization Name:SHARMA FAMILY MEDICINE & CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-610-2222
Mailing Address - Street 1:101 24TH ST
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-6253
Mailing Address - Country:US
Mailing Address - Phone:334-610-2222
Mailing Address - Fax:334-610-2226
Practice Address - Street 1:101 24TH ST
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6253
Practice Address - Country:US
Practice Address - Phone:334-610-2222
Practice Address - Fax:334-610-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29037207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty