E-signed Declaration Health Care Professional

Personal Details:
Name: Aditya Sharma
HPR-ID: 71-0476-1830-6786
Professional Type: Doctor
Sub Category: Dentistry
Mobile No: 9536839107
Email-Id: rudraditya17@gmail.com
Salutation: Do Not Specify
First Name: Aditya
Middle Name:
Last Name: Sharma
Nationality: India
Languages Spoken: English , Hindi ,

Communication Address:
Name: Aditya Sharma
Address: C/O Sarvesh Sharma 46/110F/1 laxmi NAGAR JAGDISH PURA Agra
Country: India
State: UTTAR PRADESH
District: AGRA
City/Town/Village:
Postal code: 282002
Have you shared your Phone no for public: No
Have you shared your Email-Id for public: No

Registration Details:
Registered with Council: Uttar Pradesh State Dental Council
Registered Number: 20594
Registration Date (if Available): 2020-01-01
Registration: Permanent
Due Date Of Renewal:

Qualification Details:
Name of Degree or Diploma: BDS - Bachelor of Dental Surgery
Country Name: India
State Name: MADHYA PRADESH
College Name: Maharana Pratap College of Dentistry and Research Centre
University Name: Jiwaji Univrsity

Work Details:
Currently Working: Yes
Nature of Work: Practice
Working With: Private Practice only

Facility Details:
Facility ID Facility Name Address State District Type Departm Designat Status
Status ent ion
IN09115779 Submitte Dr Aditya Shop n0 9 plot UTTAR AGRA Dental General Doctor Declared
28 d Dental Care no 413 sec 12c PRADES Clinic Dentistry
Avas Vikas H
Colony
Sikandra

Declaration
I hereby declare that I am voluntarily sharing above mentioned particulars and information. I certify that the above
information furnished by me is true, complete, and correct to the best of my knowledge. I understand that in the event
of my information being found false or incorrect at any stage.

Name: Aditya Sharma

Healthcare Professional ID Number: 71-0476-1830-6786
Digital Signature:
Digitally signed by
Date: 2024.04.19 14:51:29 IST
Reason: HPR Registration
Location: NHA