Provider Demographics
NPI:1679662381
Name:SHARMA, AKHILESH KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AKHILESH
Middle Name:KUMAR
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:901 MCCLINTOCK DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0871
Mailing Address - Country:US
Mailing Address - Phone:888-220-6432
Mailing Address - Fax:630-654-4253
Practice Address - Street 1:13055 W MCDOWELL RD
Practice Address - Street 2:BUILDING E, STE 109
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-6449
Practice Address - Country:US
Practice Address - Phone:623-328-7794
Practice Address - Fax:623-328-7932
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE22061207R00000X, 207RI0200X
AZ43323207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP01180018OtherRAILROAD MEDICARE
AZ53679Medicaid
AZZ157357Medicare PIN