Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 39081 | CA |
NPI | 1114075629 |
---|---|
Provider Name | Arun Badrinarayan Sharma |
First Address | San Francisco, CA 94143-2210 |
Second Address | San Francisco, CA 94143-2210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U17277 | (02) |