Provider Demographics
NPI:1689852550
Name:SHARMA & ASSOCIATES PC
Entity Type:Organization
Organization Name:SHARMA & ASSOCIATES PC
Other - Org Name:FREDERICKSBURG WALK IN MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-785-8018
Mailing Address - Street 1:4117 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4888
Mailing Address - Country:US
Mailing Address - Phone:540-785-8018
Mailing Address - Fax:540-785-8021
Practice Address - Street 1:4117 PLANK RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-4888
Practice Address - Country:US
Practice Address - Phone:540-785-8018
Practice Address - Fax:540-785-8021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043549208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty