Provider Demographics
NPI:1427006857
Name:SHARDA, DEEPSHIKHA (DO)
Entity Type:Individual
Prefix:
First Name:DEEPSHIKHA
Middle Name:
Last Name:SHARDA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18717 UNIVERSITY BLVD BLDG 2
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4633
Mailing Address - Country:US
Mailing Address - Phone:281-208-3322
Mailing Address - Fax:281-208-3393
Practice Address - Street 1:18717 UNIVERSITY BLVD BLDG 2
Practice Address - Street 2:SUITE 105
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4633
Practice Address - Country:US
Practice Address - Phone:281-208-3322
Practice Address - Fax:281-208-3393
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0914207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DT039OtherBLUE CROSS BLUE SHIELD
TX8DT039OtherBLUE CROSS BLUE SHIELD