Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A 111243 | CA |
N | 207R00000X | Internist | 38040 | KY |
N | 111NI0900X | Internist | 38040 | KY |
N | 207R00000X | Internist | A 111243 | CA |
N | 111NI0900X | Internist | A 111243 | CA |
NPI | 1144373655 |
---|---|
Provider Name | Dr. Kusum Sharma |
First Address | San Diego, CA 92131-3924 |
Second Address | San Diego, CA 92131-3924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 18/11/2011 |