Provider Demographics
NPI:1285603324
Name:SHARMA, GIRISH L (MD)
Entity type:Individual
Prefix:
First Name:GIRISH
Middle Name:L
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:520 HARTFORD TPKE
Mailing Address - Street 2:SUITE P
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5037
Mailing Address - Country:US
Mailing Address - Phone:860-871-2636
Mailing Address - Fax:860-871-6158
Practice Address - Street 1:520 HARTFORD TPKE
Practice Address - Street 2:SUITE P
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5037
Practice Address - Country:US
Practice Address - Phone:860-871-2636
Practice Address - Fax:860-871-6158
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2013-06-27
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Provider Licenses
StateLicense IDTaxonomies
CT028562207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC64844Medicare UPIN