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Individual

ADITYA SHARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7777 FOREST LN, SUITE C833, DALLAS, TX 75230-2505
(972) 566-4591
(972) 566-6679
Mailing address
7777 FOREST LN, SUITE C 833, DALLAS, TX 75230-2505
(972) 566-4591
(972) 566-6679

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N3304
TX
2084P0804X
Child & Adolescent Psychiatry Physician
N3304
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810003488
WV
01
8R5013
BCBS OF TEXAS
TX
Enumeration date
02/06/2007
Last updated
09/29/2009
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