Provider Demographics
NPI:1588006498
Name:SHARMA, TUSHAR
Entity Type:Individual
Prefix:
First Name:TUSHAR
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 COLEMAN ST
Mailing Address - Street 2:#B
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-3807
Mailing Address - Country:US
Mailing Address - Phone:702-202-2567
Mailing Address - Fax:702-202-6919
Practice Address - Street 1:3105 COLEMAN ST
Practice Address - Street 2:#B
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-3807
Practice Address - Country:US
Practice Address - Phone:702-202-2567
Practice Address - Fax:702-202-6919
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst