Individual
DR. SUSHEEL K SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 MADISON PARK DR, GLEN BURNIE, MD 21061-5881
(410) 761-8007
Mailing address
1401 MADISON PARK DR, GLEN BURNIE, MD 21061-5881
(410) 761-8007
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0045249
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054291100
—
MD
01
—
414113000
MEDICAID GROUP ID
MD
01
—
430P
MEDICARE PTAN
MD
01
—
430P855G
MEDICARE GROUP PTAN
MD
Enumeration date
07/28/2006
Last updated
07/11/2013
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