Provider Demographics
NPI:1407872740
Name:SHARMA, ANUJ (MD)
Entity Type:Individual
Prefix:
First Name:ANUJ
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1800 SOUTH AW GRIMES BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-244-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9300806207Q00000X
NC00101047207Q00000X
TXP6914207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8975799Medicaid
NC75312OtherNCBCBS
NC2209771NMedicare PIN
NC2209771MMedicare PIN
NC2209771GMedicare PIN
2209771EMedicare ID - Type Unspecified
NC2209771HMedicare ID - Type UnspecifiedCHUC UNION WEST
NC2209771YMedicare PIN
NC2209771SMedicare PIN
NC8975799Medicaid
NC2209771JMedicare ID - Type UnspecifiedCPN-WFM
NC2209771TMedicare PIN
NCNC4663AMedicare PIN
NC75312OtherNCBCBS
NCNC4663BMedicare UPIN
NC2209771UMedicare PIN
NC2209771RMedicare PIN
G01355Medicare UPIN