Organization Name: | RAM C SHARMA, MD PC |
NPI Number: | 1134390537 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAM C SHARMA (PRESIDENT) |
Mailing Address: | 255 S 100 E Tooele |
State: | UT US |
Postal Code: | 840742779 |
Phone Number: | 4358820424 |
Fax Number: | 4358431511 |
NPI Enumeration Date: | 03/13/2008 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 312533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |