Individual
MAMTA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19251 MACK AVE, GROSSE POINTE WOODS, MI 48236-2893
(313) 343-7280
(313) 343-7921
Mailing address
43800 GARFIELD RD, CLINTON TWP, MI 48038-1136
(586) 228-4635
(586) 228-4520
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301067180
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05274626
ECFMG
—
01
—
4301067180
CONTROLLED SUBSTANCE
—
05
—
4466620
—
MI
Enumeration date
08/30/2005
Last updated
07/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us