Provider Demographics
NPI:1932527082
Name:SHARMA, EKTA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:EKTA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:EKTA
Other - Middle Name:
Other - Last Name:BHARADWAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:23341 GOLDEN SPRINGS DR STE 202
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-2054
Mailing Address - Country:US
Mailing Address - Phone:909-839-0808
Mailing Address - Fax:909-839-1974
Practice Address - Street 1:23341 GOLDEN SPRINGS DR STE 202
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-2054
Practice Address - Country:US
Practice Address - Phone:909-839-0808
Practice Address - Fax:909-839-1974
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA149927207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine