Individual
SANJAY SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8 ARNOLD MALL, ARNOLD, MO 63010-2223
(636) 296-7510
(636) 296-4041
Mailing address
8 ARNOLD MALL, ARNOLD, MO 63010-2223
(636) 296-7510
(636) 296-4041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110133
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209127802
—
MO
Enumeration date
09/22/2006
Last updated
07/08/2007
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