Individual
PURNIMA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
(618) 529-0449
Mailing address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(347) 335-9345
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036149905
IL
207L00000X
Anesthesiology Physician
4301111029
MI
Other
Enumeration date
04/23/2014
Last updated
06/15/2021
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