Provider Demographics
NPI:1508045972
Name:SHARMA, NEHA (DO)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:NEHA
Other - Middle Name:
Other - Last Name:KANUNGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1 DEVONSHIRE PL
Mailing Address - Street 2:APT 1508
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-3510
Mailing Address - Country:US
Mailing Address - Phone:732-972-5061
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST # 1007
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2442752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry