Provider Demographics
NPI:1508943515
Name:SHARP, STEPHAN CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHAN
Middle Name:CHARLES
Last Name:SHARP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 CHURCH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-3005
Mailing Address - Country:US
Mailing Address - Phone:615-329-0197
Mailing Address - Fax:615-320-7883
Practice Address - Street 1:1916 PATTERSON ST
Practice Address - Street 2:SUITE 710
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1845
Practice Address - Country:US
Practice Address - Phone:615-329-1734
Practice Address - Fax:615-329-1611
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN19021207RE0101X
TN019021207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3078925Medicare ID - Type UnspecifiedINVIDIDUAL
TNF69147Medicare UPIN
TN3729494Medicare ID - Type UnspecifiedGROUP