Provider Demographics
NPI:1538464235
Name:BISHOP, SHARMA L (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARMA
Middle Name:L
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHARMA
Other - Middle Name:L
Other - Last Name:BISHOP-RICHARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:710 N EUCLID ST STE 400
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-4132
Mailing Address - Country:US
Mailing Address - Phone:714-517-2100
Mailing Address - Fax:714-490-1973
Practice Address - Street 1:710 N EUCLID ST STE 301
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-4122
Practice Address - Country:US
Practice Address - Phone:714-517-2100
Practice Address - Fax:714-490-1973
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA121858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine