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Organization

RAHUL SHARMA MD PLLC

Active
Parent organization
RAHUL SHARMA MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
RAHUL SHARMA MD
Authorized official
PEGGY JETER (OFFICE MANAGER)
(623) 583-2073
Entity
Organization

Contact information

Practice address
11124 W CALIFORNIA AVE, SUITE G, YOUNGTOWN, AZ 85363-1246
(623) 583-2073
Mailing address
11124 W CALIFORNIA AVE, SUITE G, YOUNGTOWN, AZ 85363-1246

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
087103
AZ
Enumeration date
01/31/2023
Last updated
04/04/2023
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