Provider Demographics
NPI:1578505483
Name:SHARMA, BALESH (MD)
Entity Type:Individual
Prefix:DR
First Name:BALESH
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-994-5411
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:2150 N EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1561
Practice Address - Country:US
Practice Address - Phone:956-548-0810
Practice Address - Fax:956-548-2198
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9338207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116608404Medicaid
TX8R1548OtherBLUE CROSS OF TEXAS
TX116608405Medicaid
TX116608403Medicaid
TX116608406Medicaid
TX116608404Medicaid
TX8J0549Medicare PIN
TX89944JMedicare PIN
TX830004993Medicare PIN
TX116608406Medicaid