Provider Demographics
NPI:1679790976
Name:SHARMA, KANIKA (MD)
Entity type:Individual
Prefix:DR
First Name:KANIKA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KANIKA
Other - Middle Name:
Other - Last Name:PAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:914 N HYER AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3202
Mailing Address - Country:US
Mailing Address - Phone:407-903-0430
Mailing Address - Fax:407-903-0530
Practice Address - Street 1:2869 WILSHIRE DR
Practice Address - Street 2:205
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3282
Practice Address - Country:US
Practice Address - Phone:407-295-0500
Practice Address - Fax:407-290-2997
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82086207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBP8308531OtherDEA
FLBP8308531OtherDEA
FLU4816AMedicare ID - Type Unspecified