Provider Demographics
NPI:1386684561
Name:SHARMA, JASDEEP KUMAR (MD, FRCPC)
Entity Type:Individual
Prefix:DR
First Name:JASDEEP
Middle Name:KUMAR
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD, FRCPC
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Other - First Name:
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Mailing Address - Street 1:6600 BRUCEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-4671
Mailing Address - Country:US
Mailing Address - Phone:916-688-2045
Mailing Address - Fax:916-688-2680
Practice Address - Street 1:6600 BRUCEVILLE RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4671
Practice Address - Country:US
Practice Address - Phone:916-688-2045
Practice Address - Fax:916-688-2680
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC051156207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH94339Medicare UPIN