Provider Demographics
NPI:1891060935
Name:SHARMA PC
Entity type:Organization
Organization Name:SHARMA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROHINI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-588-0133
Mailing Address - Street 1:5910
Mailing Address - Street 2:S UNIVERSITY BLVD C-18, #373
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-7508
Mailing Address - Country:US
Mailing Address - Phone:303-588-0133
Mailing Address - Fax:303-954-8185
Practice Address - Street 1:5828 S DRY CREEK CT
Practice Address - Street 2:
Practice Address - City:GREENWOOD VLG
Practice Address - State:CO
Practice Address - Zip Code:80121-1709
Practice Address - Country:US
Practice Address - Phone:303-588-0133
Practice Address - Fax:303-954-8185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45054207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45054OtherSTATE LICENSE