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Individual

DR. SUMIT ISHARWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 PALM AVE STE 500, JACKSONVILLE, FL 32207-8432
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101264513
VA
208800000X
Urology Physician
288302
NY
208800000X
Urology Physician
Primary
ME1644485
FL

Other

Enumeration date
06/22/2011
Last updated
04/30/2025
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