Organization
MUTYAM V. SHARMA, PSC
Active
Parent organization
MUTYAM V. SHARMA, PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUTYAM V. SHARMA, PSC
Authorized official
MUTYAM V SHARMA PSC (PHYSICIAN)
(502) 635-6321
Entity
Organization
Contact information
Practice address
2909 PRESTON HWY, LOUISVILLE, KY 40217
(502) 625-6321
(502) 637-6386
Mailing address
P.O. BOX 32513, LOUISVILLE, KY 40232
(502) 625-6321
(502) 637-6386
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17798
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64177983
—
KY
Enumeration date
09/23/2010
Last updated
09/23/2010
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