Provider Demographics
NPI:1891732848
Name:SHARMA, ANU (MD)
Entity type:Individual
Prefix:
First Name:ANU
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 1:6001 MONTROSE RD
Mailing Address - Street 2:SUITE 702
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4817
Mailing Address - Country:US
Mailing Address - Phone:301-230-5888
Mailing Address - Fax:301-230-2488
Practice Address - Street 1:6001 MONTROSE RD
Practice Address - Street 2:SUITE 702
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-4817
Practice Address - Country:US
Practice Address - Phone:301-230-5888
Practice Address - Fax:301-230-2488
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004030803207PE0004X, 207R00000X
MDM60398207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD415096100Medicaid
MD409896Medicare PIN
MD415096100Medicaid
MOI25088Medicare UPIN