Individual
SHIV K SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
722 S DENTON TAP RD STE 190, COPPELL, TX 75019-4555
(972) 365-6255
(972) 393-1234
Mailing address
722 S DENTON TAP RD STE 190, COPPELL, TX 75019-4555
(972) 365-6255
(972) 393-1234
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
K6317
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
K6317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105629301
—
TX
Enumeration date
04/05/2006
Last updated
12/04/2013
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