Provider Demographics
NPI:1871309021
Name:APARNA SHARMA
Entity type:Organization
Organization Name:APARNA SHARMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APARNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-949-4118
Mailing Address - Street 1:PO BOX 2308
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92393-2308
Mailing Address - Country:US
Mailing Address - Phone:760-949-4118
Mailing Address - Fax:760-949-0987
Practice Address - Street 1:15398 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3391
Practice Address - Country:US
Practice Address - Phone:760-949-4118
Practice Address - Fax:760-949-0987
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APARNA SHARMA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty