Provider Demographics
NPI:1386606796
Name:SHARMA, AJAY K (DO)
Entity type:Individual
Prefix:DR
First Name:AJAY
Middle Name:K
Last Name:SHARMA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 95000-2392
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-2392
Mailing Address - Country:US
Mailing Address - Phone:212-523-7621
Mailing Address - Fax:212-523-7494
Practice Address - Street 1:1111 AMSTERDAM AVE
Practice Address - Street 2:MUHLENBERG - PLANT 5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1716
Practice Address - Country:US
Practice Address - Phone:212-523-3645
Practice Address - Fax:212-523-7494
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2008-03-05
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Provider Licenses
StateLicense IDTaxonomies
NY221031207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine