Provider Demographics
NPI:1689837569
Name:SHARMA, PADMAJA (MD)
Entity type:Individual
Prefix:DR
First Name:PADMAJA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PADMAJA
Other - Middle Name:
Other - Last Name:KUMARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1860 MOWRY AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1730
Mailing Address - Country:US
Mailing Address - Phone:510-796-7104
Mailing Address - Fax:
Practice Address - Street 1:1860 MOWRY AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1730
Practice Address - Country:US
Practice Address - Phone:510-796-7104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20008017835207V00000X
CAA98104207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology