Individual
CHANDINI SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2025 E 71ST ST, TULSA, OK 74136-5407
(918) 561-6642
(918) 561-6647
Mailing address
3701 S HARVARD AVE STE A, PMB 389, TULSA, OK 74135-2282
(918) 561-6642
(918) 561-6647
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
24955
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200099780A
—
OK
Enumeration date
10/10/2006
Last updated
09/23/2024
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