Provider Demographics
NPI:1851541288
Name:MATHUR, SHARMILI (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARMILI
Middle Name:
Last Name:MATHUR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HOLIDAY CT STE 103
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-4349
Mailing Address - Country:US
Mailing Address - Phone:540-699-0608
Mailing Address - Fax:540-680-2427
Practice Address - Street 1:400 HOLIDAY CT STE 103
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-4349
Practice Address - Country:US
Practice Address - Phone:540-699-0608
Practice Address - Fax:540-680-2427
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202672207RS0012X, 207RP1001X, 207RS0012X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program