Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA08160400 | NJ |
N | 111NI0900X | Internist | 25MA08160400 | NJ |
Y | 207RH0002X | Hospice and Palliative Medicine | 25MA08160400 | NJ |
NPI | 1144304189 |
---|---|
Provider Name | Dr. Vikranta Sharma |
First Address | Cranbury, NJ 08512-3155 |
Second Address | Red Bank, NJ 07701-1063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 07/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0117854 | (05) | NJ |
111989 | MEDICARE (01) | NJ |
H09905 | (02) | NY |