Provider Demographics
NPI:1558761825
Name:SHARMA, AJAYKUMAR M (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:AJAYKUMAR
Middle Name:M
Last Name:SHARMA
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11161 NEW HAMPSHIRE AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2606
Mailing Address - Country:US
Mailing Address - Phone:301-592-0060
Mailing Address - Fax:301-592-0054
Practice Address - Street 1:11161 NEW HAMPSHIRE AVE
Practice Address - Street 2:STE 110
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2606
Practice Address - Country:US
Practice Address - Phone:301-592-0060
Practice Address - Fax:301-592-0054
Is Sole Proprietor?:No
Enumeration Date:2014-08-24
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13976183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1835000005OtherTAXONOMY