Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 24557 | TX |
NPI | 1649426891 |
---|---|
Provider Name | Dr. Mohit Sharda |
First Address | Frisco, TX 75035-9302 |
Second Address | Frisco, TX 75035-9302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 11/04/2014 |