Provider Demographics
NPI:1689815680
Name:SHARMA, KIRTI (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRTI
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 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-217-4300
Practice Address - Fax:717-217-4399
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD438614208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2132658OtherHIGHMARK BLUESHIELD
PA25-1716306OtherHEALTHNET/TRICARE
PA6093373OtherAETNA HMO
PAG920-0135/KDM4CUOtherCAREFIRST
PA102387870 0001Medicaid
PA25-1716306OtherINFORMED
PAPEARL PROVIDEROtherHEALTH AMERICA
PA50044999OtherCAPITAL BLUECROSS
PA867633OtherMEDICARE GROUP #
PAGROUP #2183091OtherMAMSI
PAMD438614OtherLICENSE
PAP00795879OtherRAILROAD MEDICARE
PA1007307260034OtherMEDICAID GROUP #
PA25-1716306OtherMULTIPLAN/PHCS
PA289342OtherUNISON
PA9839406OtherAETNA NON-HMO
PA25-1716306OtherFIRST HEALTH
PA120420410OtherDEPT OF LABOR
PA1585294OtherGATEWAY
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherDEVON
PA25-1716306OtherINTERGROUP
PA25-1716306OtherINTERGROUP
PA50044999OtherCAPITAL BLUECROSS