Provider Demographics
NPI:1154548832
Name:SHARMA, SUNITA (MD)
Entity type:Individual
Prefix:DR
First Name:SUNITA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
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:NRHN REHAB PHYSICIAN SERVICES
Mailing Address - Street 2:105 CORPORATE DRIVE
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-501-5547
Mailing Address - Fax:603-501-5650
Practice Address - Street 1:NRHN REHAB PHYSICIAN SERVICES
Practice Address - Street 2:70 BUTLER STREET
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079
Practice Address - Country:US
Practice Address - Phone:603-501-5547
Practice Address - Fax:603-501-5650
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13516207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432762399Medicaid
NH30207272Medicaid
MA2148331Medicaid
NH3073194Medicaid
ME432762399Medicaid