Mohan L Sharma MD PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME66293 Issued in FL

Legal business name

MOHAN L SHARMA MD PA

Doing business as

Mohan Sharma, M.D.

Practice address

229 E Rich Ave
Deland, FL 32724-4357

Phone

(386) 736-1444

NPI assigned

Nov 8, 2013

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Mohan Sharma, M.D. Doing business as

Tax ID family

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

Part of

Tri - State Medical Group Inc

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

  • Internal Medicine Physician
  • Deland, FL
  • NPI 1053408799
  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
  NPD (past)

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1891124988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E RICH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244357",
            "telephone_number": "386-736-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN L SHARMA MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME66293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohan Sharma, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Gregory Carl Moo, DDS

• Non-Pharmacy Dispensing Site in Deland, FL
• Providers in Deland, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.