Provider Demographics
NPI:1548519879
Name:SHARMA, PRIYANKAR (MD)
Entity type:Individual
Prefix:MR
First Name:PRIYANKAR
Middle Name:
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:UNIVERSITY URGENT CARE
Mailing Address - Street 2:912 SOMERSET BLVD., SUITRE 102
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414
Mailing Address - Country:US
Mailing Address - Phone:304-725-2273
Mailing Address - Fax:304-725-9843
Practice Address - Street 1:UNIVERSITY URGENT CARE
Practice Address - Street 2:912 SOMERSET BLVD., SUITRE 102
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414
Practice Address - Country:US
Practice Address - Phone:304-725-2273
Practice Address - Fax:304-725-9843
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV26919207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine