Provider Demographics
NPI:1639149446
Name:REED, SHARON BUDNIAK (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:BUDNIAK
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:LEE
Other - Last Name:BUDNIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:930 W 21ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1516
Mailing Address - Country:US
Mailing Address - Phone:757-622-8358
Mailing Address - Fax:757-622-9662
Practice Address - Street 1:930 W 21ST ST STE 100
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1516
Practice Address - Country:US
Practice Address - Phone:757-622-8358
Practice Address - Fax:757-622-9662
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243028207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1639149446Medicaid
VA354751OtherANTHEM BC/BS
VAPAROtherVA HEALTH NETWORK
VAPAROtherUSA MANAGED CARE
VAPAROtherVA PREMIER HEALTH
VA10033745OtherSENTARA/OPTIMA
VA5328668OtherAETNA
NC09398OtherNC BC/BS
VAPAROtherCORVEL/CORCARE
VAPAROtherMULTIPLAN
VAPAROtherFIRST HEALTH COMMERCIAL
NC09398OtherNC BC/BS
VA5328668OtherAETNA
VAPAROtherVA HEALTH NETWORK
VAPAROtherUSA MANAGED CARE
VA1639149446Medicaid