Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 35618 | AL |
N | 2080P0203X | Pediatric Critical Care Doctor | P6915 | TX |
NPI | 1295084291 |
---|---|
Provider Name | Dr. Kamal Prasad Sharma |
First Address | Mobile, AL 36640-0480 |
Second Address | Mobile, AL 36604-3301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2012 |
Last Update Date | 21/04/2017 |