Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 253478 | NY |
Y | 2080P0202X | Pediatric Cardiologist | Q1905 | TX |
NPI | 1225265564 |
---|---|
Provider Name | Kavita Sharma |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2009 |
Last Update Date | 01/10/2014 |