Individual
SHWETA SHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 207577
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 207577
M.D.
LA
Enumeration date
10/23/2007
Last updated
03/31/2015
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