Individual
DIKSHYA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2730
(360) 414-2739
Mailing address
2305 GLEN HAVEN RD, LAKE OSWEGO, OR 97034-5712
(646) 919-1473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290123-1
NY
207R00000X
Internal Medicine Physician
MD61272999
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD208075
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD61272999
WA
207RP1001X
Pulmonary Disease Physician
61272999
WA
207RP1001X
Pulmonary Disease Physician
81592
WI
207RP1001X
Pulmonary Disease Physician
MD208075
OR
207RP1001X
Pulmonary Disease Physician
MD61272999
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2014
Last updated
01/31/2025
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