Provider Demographics
NPI:1194921361
Name:ZACHARY SHARMAN, D.O. INC.
Entity type:Organization
Organization Name:ZACHARY SHARMAN, D.O. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:559-353-3927
Mailing Address - Street 1:PO BOX 3955
Mailing Address - Street 2:
Mailing Address - City:PINEDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93650-3955
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7409 N CEDAR AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3836
Practice Address - Country:US
Practice Address - Phone:559-353-3927
Practice Address - Fax:559-432-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A89472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A8947OtherMEDICAL LICENSE
CA20A8947OtherMEDICAL LICENSE