Provider Demographics
NPI:1841251899
Name:SHARMA, ANJALI (MD)
Entity type:Individual
Prefix:MRS
First Name:ANJALI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ANJALI
Other - Middle Name:
Other - Last Name:CHAWLA SHARMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7501 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823
Mailing Address - Country:US
Mailing Address - Phone:916-681-2660
Mailing Address - Fax:916-681-2671
Practice Address - Street 1:7501 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 204
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823
Practice Address - Country:US
Practice Address - Phone:916-681-2660
Practice Address - Fax:916-681-2671
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92737207V00000X
CAA-92737207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A9273700Medicaid
I44470Medicare UPIN
CA00A9273700Medicaid
CA00A9273700Medicare ID - Type Unspecified