Provider Demographics
NPI:1992801237
Name:SHARMA, MEENA (MD)
Entity type:Individual
Prefix:DR
First Name:MEENA
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 1:1 FEDERAL ST # 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLAZA
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-3150
Practice Address - Fax:856-968-8418
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-072465-L207R00000X
NJMA70229207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
010005600OtherAMERICHOICE
34732OtherUNIVERSITY HEALTHPLAN
010004401OtherAMERICHOICE
3332068OtherAETNA
3629432OtherAETNA
NJ8938806Medicaid
1166304OtherHORIZON NJ HEALTH
P2696655OtherOXFORD
2110237OtherUNITED HEALTHCARE
3K6218OtherHEALTHNET
1432659OtherPENNSYLVANIA BLUE SHIELD
2297447OtherCIGNA
2117365000OtherAMERIHEALTH
110244312OtherRR MEDICARE
H36259Medicare UPIN
1432659OtherPENNSYLVANIA BLUE SHIELD