Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 0101054140 | VA |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD2010-0506 | NM |
NPI | 1003851056 |
---|---|
Provider Name | Dr. Mrinal Sharma |
First Address | Lovington, NM 88260-2830 |
Second Address | Lovington, NM 88260-2830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 09/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
82655243 | (05) | NM |
G03424 | (02) |