Provider Demographics
NPI:1578581963
Name:SHARMA, APARNA (MD)
Entity Type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15398 MAIN ST
Mailing Address - Street 2:STE. B
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-3390
Mailing Address - Country:US
Mailing Address - Phone:760-949-4118
Mailing Address - Fax:760-949-0987
Practice Address - Street 1:15398 MAIN ST
Practice Address - Street 2:STE. B
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3390
Practice Address - Country:US
Practice Address - Phone:760-949-4118
Practice Address - Fax:760-949-0987
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74104208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A741040Medicaid