Organization
JIVESH SHARMA M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIVESH SHARMA (PHYSICIAN OWNER)
(214) 707-3759
Entity
Organization
Contact information
Practice address
12606 GREENVILLE AVE STE 185, DALLAS, TX 75243-1921
(214) 707-3759
Mailing address
6119 GREENVILLE AVE # 425, DALLAS, TX 75206-1910
(214) 707-3759
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1370462-13
—
TX
Enumeration date
05/14/2019
Last updated
05/14/2019
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