Individual
REVA SHARMA
Active
Individual
REVA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01046335A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110223189
MEDICARE RR (OFFICE)
IN
05
—
200181160
—
IN
01
—
941140D6
MEDICARE (HOSPITALIST)
IN
01
—
P00417858
MEDICARE RR (HOSPITALIST)
IN
Enumeration date
01/19/2007
Last updated
03/20/2021
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