Provider Demographics
NPI:1821263542
Name:SHARMIN, MOKARROMA (MD)
Entity Type:Individual
Prefix:
First Name:MOKARROMA
Middle Name:
Last Name:SHARMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 W FM 544 STE 270
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-4944
Mailing Address - Country:US
Mailing Address - Phone:469-800-2100
Mailing Address - Fax:
Practice Address - Street 1:2300 W FM 544 STE 270
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-4944
Practice Address - Country:US
Practice Address - Phone:469-800-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440742207Q00000X
TXU2320207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30080261OtherAMERIHEALTH MERCY-WMG
MD968761OtherCAREFIRST MD BCBS
PA102497942Medicaid
PAP010715OtherGATEWAY-WMG
PA416127OtherUPMC-WMG
PA405102OtherUNISON-WMG
PA2518641OtherHIGHMARK BLUE SHIELD-WMG
PA416127OtherUPMC-WMG
MD968761OtherCAREFIRST MD BCBS