Provider Demographics
NPI:1396408563
Name:SHARMA, ANJU (RD)
Entity Type:Individual
Prefix:MRS
First Name:ANJU
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:ANJU
Other - Middle Name:
Other - Last Name:KALIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:5580 STONEGROVE OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1993
Mailing Address - Country:US
Mailing Address - Phone:214-938-2553
Mailing Address - Fax:
Practice Address - Street 1:1833 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-4021
Practice Address - Country:US
Practice Address - Phone:404-728-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA865589133VN1101X
GALD003757133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Gerontological