Provider Demographics
NPI:1649223652
Name:SHARKAR, SNEJANA (NP)
Entity Type:Individual
Prefix:
First Name:SNEJANA
Middle Name:
Last Name:SHARKAR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 WISCONSIN AVE, NW
Mailing Address - Street 2:#660 THE WATERFRONT CENTER
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007
Mailing Address - Country:US
Mailing Address - Phone:202-298-9131
Mailing Address - Fax:202-298-5512
Practice Address - Street 1:1010 WISCONSIN AVE, NW
Practice Address - Street 2:#660 THE WATERFRONT CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-298-9131
Practice Address - Fax:202-298-5512
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017136915363L00000X
VA0024164093363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA016980M58Medicare PIN
VA142914ZCCUMedicare PIN
VAP21040Medicare UPIN
VA016980M58Medicare PIN
VAP21040Medicare UPIN
VA142914ZCCUMedicare PIN