Provider Demographics
NPI:1659380228
Name:MAHESHWARI-SHARMA, SEEMA (MD)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:
Last Name:MAHESHWARI-SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SEEMA
Other - Middle Name:
Other - Last Name:MAHESHWARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 440332
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0332
Mailing Address - Country:US
Mailing Address - Phone:865-670-6199
Mailing Address - Fax:865-670-6198
Practice Address - Street 1:689 MEDICAL PARK DR
Practice Address - Street 2:STE 301
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-5795
Practice Address - Country:US
Practice Address - Phone:865-988-6330
Practice Address - Fax:865-988-8772
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000042508207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ004815Medicaid
TN103I114568Medicare PIN
TNQ004815Medicaid
AL51509817OtherBCBS
AL51515494OtherBCBS
ALH35510Medicare UPIN
AL51515493OtherBCBS
AL51524626AOtherBCBS
AL630910071Medicaid
AL630902071Medicaid
AL630909071Medicaid