Provider Demographics
NPI:1508804337
Name:SHARMA, VINEET (MD)
Entity Type:Individual
Prefix:MR
First Name:VINEET
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 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:3024 BUSINESS PARK CIR
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3132
Practice Address - Country:US
Practice Address - Phone:615-851-6033
Practice Address - Fax:615-851-2018
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN407512085R0202X, 2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1509315OtherMEDICAID - MTI
TN4291486OtherBCBS - MTI
TN1509315Medicaid
TN4196612OtherBCBS TN
KY7100021810Medicaid
TNP00942163OtherRR MEDICARE - MTI
TN3338894Medicaid
TN4133563OtherBCBS
TN4133560OtherBCBS
TN3338895Medicaid
TNP00359726OtherRAILROAD MEDICIARE
TN3338894Medicaid
TN103I306939Medicare PIN
TN4291486OtherBCBS - MTI
TN1509315Medicaid
TN3338895Medicare PIN