Provider Demographics
NPI:1124137658
Name:SHARMA, SHASHI (MD)
Entity type:Individual
Prefix:DR
First Name:SHASHI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SHASHI
Other - Middle Name:
Other - Last Name:SHARMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:121 ERIE CANAL DR STE D
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4605
Mailing Address - Country:US
Mailing Address - Phone:585-723-1414
Mailing Address - Fax:585-723-3390
Practice Address - Street 1:121 ERIE CANAL DRIVE
Practice Address - Street 2:STE D
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4605
Practice Address - Country:US
Practice Address - Phone:585-723-1414
Practice Address - Fax:585-723-3390
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118447207VM0101X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5543138OtherAETNA
NY00453076Medicaid
NY000502085001OtherBLUE SHIELD OF WESTERN NY
NY100672COOtherPREFERRED CARE
NYP010118447OtherBLUE CHOICE
NY000502085001OtherBLUE SHIELD OF WESTERN NY