Provider Demographics
NPI:1770591877
Name:SHARMA, SUNIL (MD)
Entity type:Individual
Prefix:DR
First Name:SUNIL
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 1:4117 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4888
Mailing Address - Country:US
Mailing Address - Phone:540-785-8018
Mailing Address - Fax:540-785-8021
Practice Address - Street 1:4117 PLANK RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-4888
Practice Address - Country:US
Practice Address - Phone:540-785-8018
Practice Address - Fax:540-785-8021
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043549208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA54-1649952OtherEIN NUMBER
VA54-1649952OtherEIN NUMBER