Individual
EKTA GUPTA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200383
PA
208100000X
Physical Medicine & Rehabilitation Physician
BP10042721
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
Q4414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348331501
—
TX
Enumeration date
07/16/2011
Last updated
10/02/2024
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