| Chandi P Sharma, M.d PC | |
|
3681 Auditorium Way College Park GA 30337-2601 | |
| (404) 766-5361 | |
| (404) 766-5362 |
| Full Name | Chandi P Sharma, M.d PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3681 Auditorium Way, College Park, Georgia |
| Authorized Official Name and Position | Chandi P Sharma (PRESIDENT) |
| Authorized Official Contact | 4047665361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandi P Sharma, M.d PC 3681 Auditorium Way College Park GA 30337-2601 Ph: (404) 766-5361 | Chandi P Sharma, M.d PC 3681 Auditorium Way College Park GA 30337-2601 Ph: (404) 766-5361 |
| NPI Number | 1811152606 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Medicare PECOS PAC ID | 8820163371 |
|---|---|
| Medicare Enrollment ID | O20080818000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811152606 | NPI | - | NPPES |
| 000143954E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 017736 (Georgia) | Primary |
| Provider Name | Chetan Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871763011 PECOS PAC ID: 7113195082 Enrollment ID: I20110720000133 |
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