Provider Demographics
NPI:1043952120
Name:SHARMA, DIVYA KUMAR (MD)
Entity type:Individual
Prefix:
First Name:DIVYA
Middle Name:KUMAR
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985645 NEBRASKA MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-5645
Mailing Address - Country:US
Mailing Address - Phone:402-558-6128
Mailing Address - Fax:402-559-3111
Practice Address - Street 1:985645 NEBRASKA MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3440
Practice Address - Country:US
Practice Address - Phone:402-558-6128
Practice Address - Fax:402-559-3111
Is Sole Proprietor?:No
Enumeration Date:2022-04-10
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NE9887207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program