Provider Demographics
NPI:1740201136
Name:SHARMA, ASHOK K (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:K
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:K
Other - Last Name:SHARMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:33049 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-3705
Mailing Address - Country:US
Mailing Address - Phone:352-787-9600
Mailing Address - Fax:352-787-8640
Practice Address - Street 1:33049 PROFESSIONAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3705
Practice Address - Country:US
Practice Address - Phone:352-787-9600
Practice Address - Fax:352-787-8640
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 73557207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42724OtherBLUE CROSS BLUE SHIELD
FL59-3601538OtherFMH
FL42724OtherBLUE CROSS BLUE SHIELD
FL59-3601538OtherFMH