Provider Demographics
NPI:1578500658
Name:SHARMAN, ZACHARY (DO)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:SHARMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:ZACHARY
Other - Middle Name:
Other - Last Name:SHARMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 3955
Mailing Address - Street 2:
Mailing Address - City:PINEDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93650-3955
Mailing Address - Country:US
Mailing Address - Phone:559-353-3927
Mailing Address - Fax:559-432-8302
Practice Address - Street 1:7409 N CEDAR AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3836
Practice Address - Country:US
Practice Address - Phone:559-353-3927
Practice Address - Fax:559-432-8302
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A89472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A8947OtherCA MEDICAL LICENSE
CAI69547Medicare UPIN