Individual
DR. SANJEEV SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 ROYAL AVE, SUITE 450, MEDFORD, OR 97504-6193
(541) 732-7850
(541) 732-7851
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7850
(541) 732-7851
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35-088274
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221392
UNISON
OH
01
—
000000503671
ANTHEM
OH
05
—
00G85988
—
CA
05
—
2695650
—
OH
01
—
364004
WELLCARE
OH
01
—
7164035
AETNA
OH
01
—
751011
BUCKEYE
OH
Enumeration date
01/21/2006
Last updated
05/10/2010
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