Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 60828043 | WA |
NPI | 1053686394 |
---|---|
Provider Name | Dr. Rohan Sharma |
First Address | Tacoma, WA 98405-5093 |
Second Address | Federal Way, WA 98003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 20/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2100352 | (05) | WA |