Provider Demographics
NPI:1811562994
Name:SHARMA, AKHYA (MBBS)
Entity Type:Individual
Prefix:MISS
First Name:AKHYA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3249 SOUTH OAK PARK AVE, LOYOLA MEDICINE MACNEAL HOSPI
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402
Mailing Address - Country:US
Mailing Address - Phone:708-783-3401
Mailing Address - Fax:804-828-0489
Practice Address - Street 1:3722 SOUTH HARLEM AVE MACNEAL CENTER FOR INTERNAL MEDIC
Practice Address - Street 2:SUITE LL34
Practice Address - City:RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546
Practice Address - Country:US
Practice Address - Phone:708-783-6566
Practice Address - Fax:708-783-6567
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125-078565207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine