Jaishree Tandon-Sharma, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301073664 Issued in MI

Practice address

8447 Holly Rd
Grand Blanc, MI 48439-1888

Phone

(810) 695-1992

Fax

(810) 695-2664

NPI assigned

Aug 7, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jtandonsharma1155167@direct.hfhs.org
• Direct secure messaging: jaishreetandonsharma@pmi.allscriptsdirect.net

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284163200000",
    "number": "1982613915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8447 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391888",
            "telephone_number": "810-695-1992",
            "fax_number": "810-695-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8447 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391888",
            "telephone_number": "810-695-1992",
            "fax_number": "810-695-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDON-SHARMA",
        "first_name": "JAISHREE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301073664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982613915",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MICHIGAN",
            "identifier": "JT073664",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Szeliga
• Ayman E Tadros, MD
• Kaitlyn Elizabeth Takach, MD
• Manpreet Singh Takhi, MD
• Monal K Talati, PT
• Brittany Tanner
• Kaniya Tanner
• Aroon Tanveer, M.D.
• Andrew J Tartaglione, D.O.
• Swapna Tatineni

• Family Medicine Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; 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.