Provider Demographics
NPI:1922359652
Name:SHARMA, HARI OM (MD)
Entity type:Individual
Prefix:DR
First Name:HARI
Middle Name:OM
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:181 FRANKLIN AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2900
Mailing Address - Country:US
Mailing Address - Phone:973-667-8620
Mailing Address - Fax:973-542-8714
Practice Address - Street 1:181 FRANKLIN AVE STE 205
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-2900
Practice Address - Country:US
Practice Address - Phone:973-667-8620
Practice Address - Fax:973-542-8714
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2012023680207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1922359652Medicaid
KS200968600AMedicaid
OK200463570AMedicaid
MOMA3446162Medicare PIN
KS200968600AMedicaid