Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A119733 | CA |
N | 2081P2900X | Pain Medicine | Q2947 | TX |
NPI | 1366734071 |
---|---|
Provider Name | Sameer Sharma |
First Address | Sacramento, CA 95816-5119 |
Second Address | Sacramento, CA 95816-5119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2011 |
Last Update Date | 05/06/2020 |