Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A53781 | CA |
NPI | 1013085018 |
---|---|
Provider Name | Dr. Ram Kumar Sharma |
First Address | Santa Ana, CA 92705-3807 |
Second Address | Los Angeles, CA 90027-6005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 26/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G57111 | (02) |