Individual
SHIVA SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101
(717) 782-5486
Mailing address
6691 TERRACE WAY, HARRISBURG, PA 17111-7057
(312) 404-6525
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125066980
IL
2080P0206X
Pediatric Gastroenterology Physician
0101281063
VA
208M00000X
Hospitalist Physician
Primary
MD464178
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720532021
—
IL
Enumeration date
08/04/2016
Last updated
11/25/2024
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