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Individual
DR. KAILASH B SHARMA
Active
Individual
DR. KAILASH B SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
015039
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
015039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000259003A
—
GA
01
—
10058418
AMERIGROUP
GA
01
—
285011
BCBS
GA
01
—
339161
WELLCARE
GA
01
—
581446543
TRICARE
GA
Enumeration date
01/14/2006
Last updated
07/06/2015
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