Provider Demographics
NPI:1790891547
Name:SHARMA, DEOVYAAS S (MD)
Entity Type:Individual
Prefix:
First Name:DEOVYAAS
Middle Name:S
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:SUITE F
Mailing Address - Street 2:834 WEST MEETING ST
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-6220
Mailing Address - Country:US
Mailing Address - Phone:803-366-3900
Mailing Address - Fax:803-366-1213
Practice Address - Street 1:SUITE F
Practice Address - Street 2:834 WEST MEETING ST
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29720-6220
Practice Address - Country:US
Practice Address - Phone:803-366-3900
Practice Address - Fax:803-366-1213
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-10-15
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Provider Licenses
StateLicense IDTaxonomies
SC23688207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCH77155Medicare UPIN