Individual
PRASHANT SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1281 N 600 E, LOGAN, UT 84341-6988
(801) 408-1262
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
106801
MN
207R00000X
Internal Medicine Physician
125052270
IL
207R00000X
Internal Medicine Physician
57089
MN
207RH0003X
Hematology & Oncology Physician
Primary
11210063-1205
UT
207RH0003X
Hematology & Oncology Physician
TL.0005944
CO
Other
Enumeration date
03/04/2008
Last updated
10/28/2019
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