Provider Demographics
NPI:1396186797
Name:SHARMA, TARUN (MD)
Entity Type:Individual
Prefix:DR
First Name:TARUN
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1459 LANEY WALKER BLVD
Mailing Address - Street 2:SUITE AE 3042
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0002
Mailing Address - Country:US
Mailing Address - Phone:706-721-7005
Mailing Address - Fax:706-446-3546
Practice Address - Street 1:1459 LANEY WALKER BLVD
Practice Address - Street 2:SUITE AE 3042
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0002
Practice Address - Country:US
Practice Address - Phone:706-721-7005
Practice Address - Fax:706-446-3546
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-13
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43011022721207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine