Sharmila C Mudgal, M.D.,MPH

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

159636 Issued in MA

Practice address

One Orthopedics Drive
Peabody, MA 01960

Phone

(978) 539-6200

Fax

(978) 539-6199

NPI assigned

May 27, 2006

Last updated

Jul 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sharmila Kudav Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1356398143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CHADBOURNE RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024218211",
            "telephone_number": "617-256-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ORTHOPEDICS DRIVE",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "978-539-6200",
            "fax_number": "978-539-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDGAL",
        "first_name": "SHARMILA",
        "middle_name": "C",
        "credential": "M.D.,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MA",
            "license": "159636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARMILA",
            "last_name": "KUDAV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Medicine Physician in Peabody, MA
• Providers in Peabody, MA by specialty
• Occupational Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.