Provider Demographics
NPI:1194725440
Name:SHARMA, AMAR J (MD)
Entity type:Individual
Prefix:DR
First Name:AMAR
Middle Name:J
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 1:940 N. NEW STREET
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018
Mailing Address - Country:US
Mailing Address - Phone:610-691-1133
Mailing Address - Fax:610-691-0581
Practice Address - Street 1:940 N. NEW STREET
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018
Practice Address - Country:US
Practice Address - Phone:610-691-1133
Practice Address - Fax:610-691-0581
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024126E207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001676384OtherBLUE SHIELD
PA0156519OtherKEYSTONE CENTRAL
PA030002821OtherRAILROAD MEDICARE
PA141613112OtherUNITED HEALTHCARE
PA001410756Medicaid
PA02356600OtherBLUE CROSS
PA0001605OtherAETNA
PA1807456002OtherCIGNA
PA2351818000OtherAMERIHEALTH
PA20011270OtherAMERIHEALTH MERCY
PA2351818000OtherINDEPENDENCE BLUE CROSS H
PA02356600OtherBLUE CROSS
PA030002821OtherRAILROAD MEDICARE