Provider Demographics
NPI:1679721351
Name:SAMEER SHARMA MD INC
Entity type:Organization
Organization Name:SAMEER SHARMA MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-523-6837
Mailing Address - Street 1:195 N HARBOR DR
Mailing Address - Street 2:#2908
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7532
Mailing Address - Country:US
Mailing Address - Phone:312-523-6837
Mailing Address - Fax:312-552-0010
Practice Address - Street 1:5815 S CALUMET AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-2352
Practice Address - Country:US
Practice Address - Phone:312-523-6837
Practice Address - Fax:312-552-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty