Individual
BHAVNA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12205 COUNTY LINE RD STE B, MADISON, AL 35758-7720
(256) 325-8457
(256) 325-8454
Mailing address
102 ESSEX CT, SUITE C, MADISON, AL 35758-3160
(256) 325-8457
(256) 325-8454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00026846
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932627
—
AL
01
—
3003
NEIC SITE ID NUMBER
AL
01
—
51001371
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/20/2006
Last updated
03/07/2023
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