Individual
MANISH SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-8481
(269) 341-7781
Mailing address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-8481
(269) 341-7781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301059313
MI
207U00000X
Nuclear Medicine Physician
4301059313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F364771
BCBS GROUP PIN
MI
05
—
1194836858
—
MI
Enumeration date
08/31/2006
Last updated
11/27/2023
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