Provider Demographics
NPI:1710032099
Name:SHARMA, CHINTU (MD)
Entity Type:Individual
Prefix:
First Name:CHINTU
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 FARMHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:BROOKEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20833-3209
Mailing Address - Country:US
Mailing Address - Phone:301-828-8887
Mailing Address - Fax:
Practice Address - Street 1:200 MEMORIAL AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5726
Practice Address - Country:US
Practice Address - Phone:410-871-7711
Practice Address - Fax:410-871-6235
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89597207R00000X, 208000000X
MDD69086207R00000X, 208M00000X
PAMD431358207R00000X, 208M00000X
VA0101246895207R00000X, 208M00000X
MI4301114291207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics