Individual
SANJEEV S SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1143
(304) 526-8945
Mailing address
PO BOX 1104, RAHWAY, NJ 07065-1104
(973) 444-2664
(973) 322-4132
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
19077
WV
2085R0001X
Radiation Oncology Physician
30682
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200071
UNISON
OH
01
—
001718779
MTN STATE BC BS
—
05
—
0122133000
—
WV
05
—
2018711
—
OH
01
—
50007263
PASSPORT
KY
01
—
5123739
AETNA
—
01
—
550493376 00
WORKMANS COMP
WV
05
—
6400573900
—
KY
01
—
900002277
RR MEDICARE (WV)
WV
Enumeration date
12/22/2005
Last updated
03/23/2026
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