Provider Demographics
NPI:1710199245
Name:SHARMA, BIKAS (MD)
Entity Type:Individual
Prefix:
First Name:BIKAS
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 1:6787 W TROPICANA AVE
Mailing Address - Street 2:STE110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-4757
Mailing Address - Country:US
Mailing Address - Phone:702-750-1744
Mailing Address - Fax:702-750-1791
Practice Address - Street 1:6787 W TROPICANA AVE
Practice Address - Street 2:STE110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-4757
Practice Address - Country:US
Practice Address - Phone:702-750-1744
Practice Address - Fax:702-750-1791
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101241425207Q00000X
NV12368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100512584Medicaid
NVCS15389OtherPHARMACY/CONTROLLED SUBSTANCE CERTIFICATE
NV12368OtherMEDICAL LICENSE
NVCS15389-DOtherDISPENSING PHARMACY/CONTROLLED SUBSTANCE CERTIFICATE
NVFS0228634OtherDEA
NV100512584Medicaid