Individual
TRILOK SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7255 OLD OAK BLVD, C208, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-2708
(440) 243-8480
Mailing address
7255 OLD OAK BLVD, C208, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-2708
(440) 243-8480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35045750
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35045750
OH
207RI0011X
Interventional Cardiology Physician
35045750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132620
ANTHEM BLUE CROSS/BLUE SH
OH
05
—
0513760
—
OH
01
—
100651
KAISER
OH
01
—
110054252
RAILROAD MEDICARE
OH
01
—
2500481
UNITED HEALTHCARE
OH
01
—
341487428
TAX ID
OH
01
—
4078421
AETNA
OH
01
—
53082
QUALCHOICE
OH
Enumeration date
06/28/2006
Last updated
07/31/2008
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