Individual
DR. KIRTI SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 278-4818
(814) 231-7098
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7000
(814) 231-7098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD438614
PA
208M00000X
Hospitalist Physician
MD438614
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260034
MEDICAID GROUP #
PA
05
—
102387870 0001
—
PA
01
—
120420410
DEPT OF LABOR
PA
01
—
1585294
GATEWAY
PA
01
—
2132658
HIGHMARK BLUESHIELD
PA
01
—
25-1716306
HEALTHNET/TRICARE
PA
01
—
289342
UNISON
PA
01
—
50044999
CAPITAL BLUECROSS
PA
01
—
6093373
AETNA HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
9839406
AETNA NON-HMO
PA
01
—
G920-0135/KDM4CU
CAREFIRST
PA
01
—
GROUP #2183091
MAMSI
PA
01
—
MD438614
LICENSE
PA
01
—
P00795879
RAILROAD MEDICARE
PA
01
—
PEARL PROVIDER
HEALTH AMERICA
PA
Enumeration date
03/20/2009
Last updated
03/05/2026
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