Provider Demographics
NPI:1881351328
Name:SHARMA, SHILA
Entity type:Individual
Prefix:
First Name:SHILA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 LARKSPUR LN
Mailing Address - Street 2:
Mailing Address - City:SECANE
Mailing Address - State:PA
Mailing Address - Zip Code:19018-3518
Mailing Address - Country:US
Mailing Address - Phone:267-230-7440
Mailing Address - Fax:
Practice Address - Street 1:1272 PROVIDENCE RD STE 1
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-2839
Practice Address - Country:US
Practice Address - Phone:484-228-1422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2023-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
No344600000XTransportation ServicesTaxiGroup - Single Specialty
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)