Basic Information
Provider Information
NPI: 1285617712
EntityType: 2
ReplacementNPI:  
OrganizationName: VASANTI N KHARKAR-SHARMA MD
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
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Credential:  
OtherOrganizationName:  
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OtherLastName:  
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Mailing Information
Address1: 5620 SOUTHWYCK BLVD
Address2:  
City: TOLEDO
State: OH
PostalCode: 436141501
CountryCode: US
TelephoneNumber: 8002888325
FaxNumber:  
Practice Location
Address1: 200 W LORAIN ST
Address2:  
City: OBERLIN
State: OH
PostalCode: 440741026
CountryCode: US
TelephoneNumber: 4407751211
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/29/2005
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KHARKAR-SHARMA
AuthorizedOfficialFirstName: VASANTI
AuthorizedOfficialMiddleName: N
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 4407759105
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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