Individual
DR. JAGMOHAN SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43555 DALCOMA DR, STE 4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152
Mailing address
43555 DALCOMA DR, STE 4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4302073101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104083075
—
MI
01
—
123905
CARE CHOICES-PREFERRED
MI
01
—
250010321
RAILROAD MEDICARE
MI
01
—
2505228341
BCN
MI
01
—
C6810
M-CARE
MI
01
—
JS073101
BCBSM
MI
Enumeration date
05/31/2005
Last updated
11/19/2009
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