Provider Demographics
NPI:1447237581
Name:SHARMA, ARUN (MD)
Entity Type:Individual
Prefix:
First Name:ARUN
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
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 58748
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8748
Mailing Address - Country:US
Mailing Address - Phone:281-338-6509
Mailing Address - Fax:281-332-1482
Practice Address - Street 1:4721 GARTH SUITE G
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2155
Practice Address - Country:US
Practice Address - Phone:281-338-6509
Practice Address - Fax:281-332-1482
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1390207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139750716Medicaid
TX139750716Medicaid
TX00T48TMedicare PIN