Individual
SHARMA M NDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2932 GALESHEAD DR, UPPER MARLBORO, MD 20774-8055
(240) 899-3989
Mailing address
9470 ANNAPOLIS RD, LANHAM, MD 20706-3025
(240) 899-3989
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R219132
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346502432
—
DC
Enumeration date
06/13/2012
Last updated
06/02/2022
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