Individual
PRASUN SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(479) 316-9998
Mailing address
1 HOSPITAL DR # DC069.10, COLUMBIA, MO 65212-1000
(573) 882-1026
(573) 884-8524
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2025017395
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/21/2024
Last updated
08/21/2025
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