Individual
MR. SHIV KUMAR SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5815 S CALUMET AVE, HAMMOND, IN 46320-2352
(219) 932-4921
(219) 932-0663
Mailing address
5815 S CALUMET AVE, HAMMOND, IN 46320-2352
(219) 932-4921
(219) 932-0663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031739A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045490002
CIGNA
—
05
—
036061489
—
IL
01
—
080127845
RAILROAD MEDICARE
—
05
—
100213650
—
IN
01
—
90001001
BLUE CROSS
IL
Enumeration date
09/20/2006
Last updated
11/10/2010
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