Provider Demographics
NPI:1760410815
Name:SHARMA, UMESH (MD)
Entity Type:Individual
Prefix:
First Name:UMESH
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:UMESH
Other - Middle Name:K
Other - Last Name:SHARMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 691385
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32869-1385
Mailing Address - Country:US
Mailing Address - Phone:407-601-3929
Mailing Address - Fax:407-233-1185
Practice Address - Street 1:15493 STONEYBROOK WEST PKWY STE 110
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4769
Practice Address - Country:US
Practice Address - Phone:407-601-3929
Practice Address - Fax:407-233-1185
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME960322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2762625-00Medicaid
FLAA152WMedicare PIN
FLAA152XMedicare PIN
FLAA152YMedicare PIN