Individual
VIVEK SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401
Mailing address
13000 RIVERS BEND BLVD, STE D, CHESTER, VA 23836-8632
(804) 571-5106
(804) 530-1857
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD072496L
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101243516
VA
Other
Enumeration date
11/16/2006
Last updated
12/05/2017
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