Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 01054432 | IN |
NPI | 1083659031 |
---|---|
Provider Name | Sharon H Smith |
First Address | Carmel, IN 46032-4656 |
Second Address | Carmel, IN 46032-4656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 22/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200341980 | (05) | IN |
A79120 | (02) | IN |