Individual
JYOTI SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13838 S 46TH PL STE 120, PHOENIX, AZ 85044-7801
(941) 755-2456
Mailing address
13838 S 46TH PL STE 120, PHOENIX, AZ 85044-7801
(941) 755-2456
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6613
AZ
363AM0700X
Medical Physician Assistant
PA9109201
FL
Other
Enumeration date
11/04/2015
Last updated
07/21/2022
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