Provider Demographics
NPI:1568790848
Name:SHARMA, SIDHARTH (MD)
Entity Type:Individual
Prefix:DR
First Name:SIDHARTH
Middle Name:
Last Name:SHARMA
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 1:2612 HOLCOMB BRIDGE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5494
Mailing Address - Country:US
Mailing Address - Phone:770-650-8980
Mailing Address - Fax:770-650-5589
Practice Address - Street 1:980 BIRMINGHAM RD STE 304
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-4418
Practice Address - Country:US
Practice Address - Phone:470-639-6340
Practice Address - Fax:404-250-8096
Is Sole Proprietor?:No
Enumeration Date:2009-11-25
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA064967207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine