Individual
SURYA KUMAR SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1805 AQUILA DR, PUEBLO, CO 81008-2617
(719) 544-4765
(719) 544-2094
Mailing address
1312 N GRAND AVE, PUEBLO, CO 81003-2718
(719) 544-2090
(719) 544-2094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41617
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33432031
—
CO
Enumeration date
09/14/2006
Last updated
07/08/2007
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