Provider Demographics
NPI:1831733971
Name:SHARMA, ANJANA SHAH (OD)
Entity type:Individual
Prefix:
First Name:ANJANA
Middle Name:SHAH
Last Name:SHARMA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10903 MEADE CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2124
Mailing Address - Country:US
Mailing Address - Phone:303-880-6378
Mailing Address - Fax:
Practice Address - Street 1:10903 MEADE CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-2124
Practice Address - Country:US
Practice Address - Phone:303-880-6378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2624152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist