Individual
DR. VISHAKHA MODI SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 CRAVEN RD, SAN MARCOS, CA 92078-4201
(760) 510-4259
(760) 510-4201
Mailing address
400 CRAVEN RD, SAN MARCOS, CA 92078-4201
(760) 510-4259
(760) 510-4201
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125-049437
IL
207N00000X
Dermatology Physician
Primary
A109649
CA
Other
Enumeration date
05/01/2008
Last updated
02/17/2026
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