Individual
SANJEEV K. SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10109 MAPLE ST, OMAHA, NE 68134-5554
(402) 572-3500
(402) 572-3505
Mailing address
10109 MAPLE ST, OMAHA, NE 68134-5554
(402) 572-3500
(402) 572-3505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22539
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098684412
MEDICARE PTAN
NE
Enumeration date
08/19/2006
Last updated
11/03/2021
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