Provider Demographics
NPI:1144304189
Name:SHARMA, VIKRANTA (MD)
Entity type:Individual
Prefix:DR
First Name:VIKRANTA
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 STITES DR
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3155
Mailing Address - Country:US
Mailing Address - Phone:609-395-6922
Mailing Address - Fax:609-395-6922
Practice Address - Street 1:176 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1063
Practice Address - Country:US
Practice Address - Phone:723-224-6868
Practice Address - Fax:732-224-0843
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08160400207RH0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ111989OtherMEDICARE
NJ0117854Medicaid
NJ0117854Medicaid