Provider Demographics
NPI:1508881392
Name:SHARMA, ALPA (DO)
Entity Type:Individual
Prefix:
First Name:ALPA
Middle Name:
Last Name:SHARMA
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 1:15075 CAPITAL ONE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23238-1122
Mailing Address - Country:US
Mailing Address - Phone:804-855-6000
Mailing Address - Fax:804-855-6212
Practice Address - Street 1:15075 CAPITAL ONE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-1122
Practice Address - Country:US
Practice Address - Phone:804-855-6000
Practice Address - Fax:804-855-6212
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202422207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA015254OtherCOMMERCIAL-COMMERCIAL NUMBER
VA1046080OtherSOUTHERN HEALTH/COVENTRY
VA302011OtherANTHEM
VA7743887OtherCIGNA
VA1508881392Medicaid
MI489782411Medicaid
700H262220OtherBLUE CROSS-BLUE CROSS
AA015254OtherCHAMPUS-CHAMPUS
VA1508881392Medicaid
AA015254OtherCOMMERCIAL-COMMERCIAL NUMBER
700H262220OtherBLUE CROSS-BLUE CROSS