Provider Demographics
NPI:1295770444
Name:SHARMA, NAGINDER (MD)
Entity type:Individual
Prefix:DR
First Name:NAGINDER
Middle Name:
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 1:13000 BELLA ITALIA CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76126-6106
Mailing Address - Country:US
Mailing Address - Phone:817-293-8888
Mailing Address - Fax:817-293-4444
Practice Address - Street 1:11797 SOUTH FWY STE 254
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7035
Practice Address - Country:US
Practice Address - Phone:817-293-8888
Practice Address - Fax:817-293-4444
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2296207RC0000X, 207UN0901X, 207RI0011X
MO2005002904207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
196516OtherBCBS
TX202803701Medicaid
MO207570003Medicaid
P00211793OtherRAILROAD MEDICARE
250766OtherHEALTHLINK
196516OtherBCBS
930944479Medicare PIN
250766OtherHEALTHLINK