Provider Demographics
NPI:1821182486
Name:SHARMA, GEETIKA
Entity Type:Individual
Prefix:
First Name:GEETIKA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 DANIEL WEBSTER HWY
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4112
Mailing Address - Country:US
Mailing Address - Phone:603-429-1611
Mailing Address - Fax:603-429-1285
Practice Address - Street 1:399 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4112
Practice Address - Country:US
Practice Address - Phone:603-429-1611
Practice Address - Fax:603-429-1285
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13270207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G84796Medicare UPIN