Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2004018420 | MO |
N | 2080P0207X | Pediatric Hematology-Oncologist | 04-32590 | KS |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 2004018420 | MO |
NPI | 1215970298 |
---|---|
Provider Name | Dr. Mukta Sharma |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 18/08/2011 |