Individual
VARUN DAVE SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036.147536
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA662186
CANADIAN PASSPORT
—
Enumeration date
01/08/2019
Last updated
04/13/2020
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