Provider Demographics
NPI:1497376677
Name:SHARMA, BRIHANT (MD)
Entity Type:Individual
Prefix:MR
First Name:BRIHANT
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 1:501 S WASHINGTON AVE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505
Mailing Address - Country:US
Mailing Address - Phone:570-941-0630
Mailing Address - Fax:570-343-4800
Practice Address - Street 1:501 S WASHINGTON AVE
Practice Address - Street 2:SUITE 1000
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505
Practice Address - Country:US
Practice Address - Phone:570-941-0630
Practice Address - Fax:570-343-4800
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390200000X
PAMT221749390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program