Provider Demographics
NPI:1356523203
Name:SHARMA, VINITA SAIN (MD)
Entity type:Individual
Prefix:DR
First Name:VINITA
Middle Name:SAIN
Last Name:SHARMA
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 1:18829 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3262
Mailing Address - Country:US
Mailing Address - Phone:248-615-1234
Mailing Address - Fax:248-615-1236
Practice Address - Street 1:18829 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3262
Practice Address - Country:US
Practice Address - Phone:248-615-1234
Practice Address - Fax:248-615-1236
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI048488207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MID72626Medicare UPIN
MI0823072Medicare PIN