Provider Demographics
NPI:1417099185
Name:SHARMA, SHEENA (MD)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:72 CUDWORTH RD
Mailing Address - Street 2:INTER MED ASSOCIATES, PC
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-3157
Mailing Address - Country:US
Mailing Address - Phone:508-461-0011
Mailing Address - Fax:508-949-8104
Practice Address - Street 1:72 CUDWORTH RD
Practice Address - Street 2:INTER MED ASSOCIATES, PC
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-3157
Practice Address - Country:US
Practice Address - Phone:508-461-0011
Practice Address - Fax:508-949-8104
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2010-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA234882207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000596001Medicare PIN