Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 104917 | MN |
N | 208000000X | Pediatrician | 4301089894 | MI |
N | 208000000X | Pediatrician | 53463 | MN |
Y | 2080P0205X | Pediatric Endocrinologist | 0063378 | CO |
N | 2080P0205X | Pediatric Endocrinologist | A123435 | CA |
NPI | 1104002708 |
---|---|
Provider Name | Dr. Animesh Noel Sharma |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 19/02/2020 |