Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MA080563 | NJ |
NPI | 1033129234 |
---|---|
Provider Name | Kanu P Sharan |
First Address | Camden, NJ 08103-1088 |
Second Address | Camden, NJ 08103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 08/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0114189 | (05) | NJ |
1178995 | CIGNA (01) | |
1340402 | AETNA (01) | |
1891985 | PENSYVANIA BLUE SHIELD (01) | PA |
2736090 | UNITED HEALTHCARE (01) | |
2761528000 | AMERIHEALTH, KEYSTONE, IBC (01) | |
3K5929 | HEALTHNET (01) | |
43886 | UNIVERSITY HEALTHPLAN (01) | |
60026412 | HORIZON NJ HEALTH (01) | |
P00376176 | RR MEDICARE (01) | |
P3722720 | OXFORD (01) |