Provider Demographics
NPI:1659735173
Name:SHARMA, DEEPTI (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPTI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5075 PARKWAY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9555
Mailing Address - Country:US
Mailing Address - Phone:513-584-6898
Mailing Address - Fax:513-584-5897
Practice Address - Street 1:5075 PARKWAY DR STE 101
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9555
Practice Address - Country:US
Practice Address - Phone:513-584-6898
Practice Address - Fax:513-584-5897
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY51907207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine