Organization
KAILASH C. SHARMA MD SC
Active
Parent organization
KAILASH C. SHARMA MD SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAILASH C. SHARMA MD SC
Authorized official
KAILASH C. SHARMA M.D. (PRESIDENT/OWNER)
(708) 687-4620
Entity
Organization
Contact information
Practice address
20635 ABBEY WOODS CT N, SUITE 101 & 102, FRANKFORT, IL 60423-3181
(708) 687-4620
(708) 687-4625
Mailing address
7895 BROADWAY STE V, MERRILLVILLE, IN 46410-5529
(219) 756-3988
(219) 756-2595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01061460A
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01061460A
IL
207RP1001X
Pulmonary Disease Physician
Primary
01061460A
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01061460A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632588
GROUP BLUE SHIELD NUMBER
IL
Enumeration date
07/02/2008
Last updated
07/02/2008
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