Provider Demographics
NPI:1407394828
Name:SHARMA, VENESH (ND)
Entity Type:Individual
Prefix:DR
First Name:VENESH
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2275 PALOLO AVE APT D
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3140
Mailing Address - Country:US
Mailing Address - Phone:808-971-1293
Mailing Address - Fax:
Practice Address - Street 1:122 ONEAWA ST STE 103
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2524
Practice Address - Country:US
Practice Address - Phone:808-466-8600
Practice Address - Fax:808-466-8829
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4118175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath