Provider Demographics
NPI:1588621098
Name:AJEET L SHARMA MD LLC
Entity Type:Organization
Organization Name:AJEET L SHARMA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AJEET
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-725-6801
Mailing Address - Street 1:2751 BAY PARK DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-4921
Mailing Address - Country:US
Mailing Address - Phone:419-725-6801
Mailing Address - Fax:419-725-6803
Practice Address - Street 1:2751 BAY PARK DR
Practice Address - Street 2:SUITE 204
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-4921
Practice Address - Country:US
Practice Address - Phone:419-725-6801
Practice Address - Fax:419-725-6803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077414207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDC6086OtherMEDICARE RAILROAD
OHDC6086OtherMEDICARE RAILROAD