Individual
NIDHI SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35127104
OH
2085R0202X
Diagnostic Radiology Physician
Primary
S4685
TX
390200000X
Student in an Organized Health Care Education/Training Program
57015523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406530201
—
TX
Enumeration date
06/03/2009
Last updated
03/11/2021
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