Provider Demographics
NPI:1891354189
Name:SHERPA, SONAM TSHERING (DO)
Entity Type:Individual
Prefix:DR
First Name:SONAM
Middle Name:TSHERING
Last Name:SHERPA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:MYERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17067-2328
Mailing Address - Country:US
Mailing Address - Phone:717-866-5755
Mailing Address - Fax:717-866-7120
Practice Address - Street 1:431 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-2328
Practice Address - Country:US
Practice Address - Phone:717-866-5755
Practice Address - Fax:717-866-7120
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT019140207Q00000X
PAOS021071207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty