Individual
AMIT BHUSHAN SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AMIT SHARMA
Contact information
Practice address
1505 N PEORIA AVE # APPT806, PEORIA, IL 61603-3140
(703) 505-6301
Mailing address
1505 N PEORIA AVE, PEORIA, IL 61603-3140
(703) 505-6301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125064055
IL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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