Mohan L Sharma MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0066293 Issued in FL

Legal business name

MOHAN L SHARMA MD PA

Practice address

231 East Rich Ave
Deland, FL 32724

Phone

(386) 736-1444

Fax

(386) 736-9337

NPI assigned

Oct 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohan L SharmaNPI 1770772717

Title

MD

Phone

(386) 736-1444

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Mohan L Sharma MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mohan L Sharma MD PA

  • Non-Pharmacy Dispensing Site
  • Deland, FL
  • NPI 1891124988
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohan L Sharma, MD

  • Internal Medicine Physician
  • Deland, FL
  • NPI 1770772717
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1053408799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 EAST RICH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32724",
            "telephone_number": "386-736-1444",
            "fax_number": "386-736-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 EAST RICH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32724",
            "telephone_number": "386-736-1444",
            "fax_number": "386-736-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN L SHARMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "386-736-1444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0066293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5647614",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mind Sanctuary Recovery & Psychiatry
• Angela Minett, BCABA
• Michelle Miranda
• Marjan Mirkheshti, DMD
• Danielle Nicole Modak, DPT
• Mohan L Sharma MD PA
• Jolie Alyssa Dickey Molina Maldonado, MS, RMHCI
• Lynn Mondelus
• Thomas Jude Montaldo, M.D.
• Francisca Montero, DDS

• Internal Medicine Physician in Deland, FL
• Providers in Deland, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.