Provider Demographics
NPI:1982692265
Name:SHARMA, INDU (MD)
Entity Type:Individual
Prefix:MRS
First Name:INDU
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4835
Mailing Address - Country:US
Mailing Address - Phone:732-774-5700
Mailing Address - Fax:732-774-7929
Practice Address - Street 1:1915 6TH AVE
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4835
Practice Address - Country:US
Practice Address - Phone:732-774-5700
Practice Address - Fax:732-774-7929
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA06204500207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7218800Medicaid
NJSH905711Medicare ID - Type Unspecified
G48738Medicare UPIN