Provider Demographics
NPI:1497180780
Name:SHARMA, PARTIMA DEVI (RDHAP)
Entity type:Individual
Prefix:MRS
First Name:PARTIMA
Middle Name:DEVI
Last Name:SHARMA
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9251 RUSHING CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-4812
Mailing Address - Country:US
Mailing Address - Phone:916-698-9998
Mailing Address - Fax:
Practice Address - Street 1:9251 RUSHING CREEK WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-4812
Practice Address - Country:US
Practice Address - Phone:916-698-9998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHAP478124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist