Sharma, Susheel K
Sharma, Susheel K is an individual health care provider with primary practice located at 1401 Madison Park Dr , Glen Burnie MD 21061-5881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sharma, Susheel K can be contacted via phone (410) 761-8007.Contact Information
Primary practice address
1401 Madison Park Dr
Glen Burnie MD 21061-5881
Phone: (410) 761-8007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0045249 | Maryland |
Profile Details
| NPI number | 1639183007 |
|---|---|
| LBN Legal business name | Sharma, Susheel K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 11th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639183007 | NPPES |
| Maryland | Other | 414113000 | MEDICAID GROUP ID |
| Maryland | MEDICAID | 054291100 | MEDICAID GROUP ID |
| Maryland | Other | 430P | MEDICAID GROUP ID |
| Maryland | Other | 430P855G | MEDICAID GROUP ID |
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