Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 51447 | AZ |
Y | 2080P0210X | Pediatric Nephrologist | 51447 | AZ |
NPI | 1689986002 |
---|---|
Provider Name | Dr. Sheena Sharma |
First Address | Phoenix, AZ 85018-2311 |
Second Address | Phoenix, AZ 85006-1459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2010 |
Last Update Date | 22/01/2016 |