Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 42078 | TN |
NPI | 1124072095 |
---|---|
Provider Name | Sumeet K. Sharma |
First Address | Knoxville, TN 37901-5004 |
Second Address | Knoxville, TN 37916-2231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 22/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I54284 | (02) | TN |
Q007696 | (05) | TN |