Provider Demographics
NPI:1184693228
Name:SHARMA, ATUL (MD)
Entity type:Individual
Prefix:DR
First Name:ATUL
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 1:170 WILLIAM ST
Mailing Address - Street 2:ROOM 113
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2612
Mailing Address - Country:US
Mailing Address - Phone:646-588-2526
Mailing Address - Fax:646-588-2599
Practice Address - Street 1:170 WILLIAM ST
Practice Address - Street 2:ROOM 113
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2612
Practice Address - Country:US
Practice Address - Phone:646-588-2526
Practice Address - Fax:646-588-2599
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA067084207RC0000X, 207RI0011X
NY220698207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ092172M7AMedicare ID - Type Unspecified
G87834Medicare UPIN