Provider Demographics
NPI:1639360779
Name:SHARMA, SUSHANT B (MD)
Entity Type:Individual
Prefix:
First Name:SUSHANT
Middle Name:B
Last Name:SHARMA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7255 OLD OAK BOULEVARD
Mailing Address - Street 2:SUITE C408
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3329
Mailing Address - Country:US
Mailing Address - Phone:440-414-9500
Mailing Address - Fax:440-260-0552
Practice Address - Street 1:1350 LOCUST ST.
Practice Address - Street 2:FL 1, SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-232-9030
Practice Address - Fax:412-232-9036
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2020-07-20
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Provider Licenses
StateLicense IDTaxonomies
OH35098378207RC0000X
LAMD200430207RC0000X
PAMD422151207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0058832Medicaid
OHH083350Medicare PIN