Provider Demographics
NPI:1861808685
Name:SHARMA, KUMUD (MD)
Entity type:Individual
Prefix:DR
First Name:KUMUD
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 1:3401 N BROAD ST
Mailing Address - Street 2:PARKINSON PAVILION, 8TH FLOOR SUITE 812
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-5103
Mailing Address - Country:US
Mailing Address - Phone:215-707-2969
Mailing Address - Fax:215-707-5978
Practice Address - Street 1:3401 N BROAD ST
Practice Address - Street 2:PARKINSON PAVILION, 8TH FLOOR, SUITE 812
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-5103
Practice Address - Country:US
Practice Address - Phone:215-707-2969
Practice Address - Fax:215-707-5978
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4637582084N0400X
PAMT207246207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine