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Individual

ENA SHARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
850 FAIR OAKS AVE STE 220, ARROYO GRANDE, CA 93420-3929
(805) 547-2224
(805) 474-5276
Mailing address
850 FAIR OAKS AVE STE 220, ARROYO GRANDE, CA 93420-3929
(805) 547-2224
(805) 474-5248

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A142565
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A142565
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
06/05/2013
Last updated
11/03/2023
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