Individual
POONAM SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4630
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6255
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
22827
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD-36382
IA
Other
Enumeration date
08/19/2006
Last updated
05/16/2017
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