Provider Demographics
NPI:1154397198
Name:SHARMA, LOKESH (MD)
Entity type:Individual
Prefix:
First Name:LOKESH
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 SHAMES DR
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1765
Mailing Address - Country:US
Mailing Address - Phone:516-693-0700
Mailing Address - Fax:
Practice Address - Street 1:254 CRANBURY HALF ACRE RD
Practice Address - Street 2:
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-3746
Practice Address - Country:US
Practice Address - Phone:609-520-9392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301060310208M00000X
NJ25MA07908500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3259764Medicaid
MI3259764Medicaid