Provider Demographics
NPI:1538504949
Name:SHARMA, VIPUL (MD)
Entity type:Individual
Prefix:DR
First Name:VIPUL
Middle Name:
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 1:61 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-8768
Mailing Address - Country:US
Mailing Address - Phone:570-622-5616
Mailing Address - Fax:570-622-5618
Practice Address - Street 1:61 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-8768
Practice Address - Country:US
Practice Address - Phone:570-875-8035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD464412207QS0010X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine