Provider Demographics
NPI:1528111903
Name:SHARMA, SUBHASH C (MD)
Entity type:Individual
Prefix:
First Name:SUBHASH
Middle Name:C
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 1:3649 WALNUT HILL CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-7603
Mailing Address - Country:US
Mailing Address - Phone:317-851-9251
Mailing Address - Fax:
Practice Address - Street 1:3649 WALNUT HILL CT
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-7603
Practice Address - Country:US
Practice Address - Phone:317-851-9251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01048565207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200181440Medicaid
IN185040AMedicare PIN
ING71790Medicare UPIN