Provider Demographics
NPI:1386793313
Name:SHARMA, INDU (MD)
Entity type:Individual
Prefix:DR
First Name:INDU
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 1:400 FRANKLIN TPKE
Mailing Address - Street 2:STE. 102
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-3516
Mailing Address - Country:US
Mailing Address - Phone:201-934-5700
Mailing Address - Fax:201-934-5560
Practice Address - Street 1:400 FRANKLIN TPKE
Practice Address - Street 2:STE. 102
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-3516
Practice Address - Country:US
Practice Address - Phone:201-934-5700
Practice Address - Fax:201-934-5560
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA043481207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1841106Medicaid
NJ454693Medicare ID - Type Unspecified
NJ1841106Medicaid