Individual
SURENDRA KUMAR SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4020 W FLORIDA AVE, HEMET, CA 92545-5279
(951) 652-3300
Mailing address
4020 W FLORIDA AVE, HEMET, CA 92545-5279
(951) 652-3300
(951) 765-6133
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A48320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A483200
—
CA
Enumeration date
09/08/2006
Last updated
07/08/2007
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