Individual
SHIVA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MEDICAL CENTER BLVD, SUITE 340, LAWRENCEVILLE, GA 30045-8708
(770) 995-6684
(770) 995-7631
Mailing address
500 MEDICAL CENTER BLVD, SUITE 340, LAWRENCEVILLE, GA 30045-8708
(770) 995-6684
(770) 995-7631
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
023798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000326873G
—
GA
Enumeration date
08/05/2006
Last updated
09/28/2011
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