Individual
DR. SANJAY K SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4131 W. LOOMIS RD., STE 300, GREENFIELD, WI 53221-2059
(414) 325-7246
(414) 325-3770
Mailing address
4131 W. LOOMIS RD., STE 300, GREENFIELD, WI 53221-2059
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
43945
WI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
251042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009906261Y
HUMANA
—
05
—
34511600
—
WI
Enumeration date
05/17/2006
Last updated
05/03/2023
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