Provider Demographics
NPI:1740978733
Name:SHARMA, MARISHA RAI (MBBS)
Entity type:Individual
Prefix:MS
First Name:MARISHA
Middle Name:RAI
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 S INTERSTATE 35 E 35, DENTON, TX 76210
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015
Mailing Address - Country:US
Mailing Address - Phone:682-509-3043
Mailing Address - Fax:
Practice Address - Street 1:3301 MATLOCK RD., MEDICAL CITY ARLINGTON
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015
Practice Address - Country:US
Practice Address - Phone:682-509-3043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-12-06
Deactivation Date:2023-11-30
Deactivation Code:
Reactivation Date:2023-12-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program