Provider Demographics
NPI:1255372892
Name:SHARMA, ANIL KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:ANIL
Middle Name:KUMAR
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PLAZA DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08757-3759
Mailing Address - Country:US
Mailing Address - Phone:732-473-0025
Mailing Address - Fax:732-473-0087
Practice Address - Street 1:3 PLAZA DR
Practice Address - Street 2:SUITE 4
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-3759
Practice Address - Country:US
Practice Address - Phone:732-473-0025
Practice Address - Fax:732-473-0087
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA071742207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH51943Medicare UPIN
NJ052827Medicare ID - Type Unspecified