Provider Demographics
NPI:1518656644
Name:SHARMA, PAMILA (MD)
Entity Type:Individual
Prefix:MS
First Name:PAMILA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
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:DETROIT MEDICAL CENTRE GME OFFICE-INTERNAL MEDICINE
Mailing Address - Street 2:4201 ST. ANTOINE UHC-9C
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DETROIT MEDICAL CENTRE GME OFFICE-INTERNAL MEDICINE
Practice Address - Street 2:4201 ST. ANTOINE UHC-9C
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2024-02-20
Deactivation Date:2023-12-07
Deactivation Code:
Reactivation Date:2024-02-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program