Individual
DR. NITIN R SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
330 N WABASH AVE STE 370, MARION, IN 46952-2678
(765) 660-7500
(765) 662-3411
Mailing address
330 N WABASH AVE STE G-20, MARION, IN 46952-2605
(765) 660-7616
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01085119A
IN
208600000X
Surgery Physician
2733599
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001491527
ANTHEM
IN
05
—
300047874
—
IN
Enumeration date
07/19/2007
Last updated
12/28/2022
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