Individual
NITIN KUMAR SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 FAR WEST DRIVE, SUITE 201, ST JOSEPH, MO 64506-3511
(816) 271-8182
(816) 271-8183
Mailing address
105 FAR WEST DRIVE, SUITE 201, ST JOSEPH, MO 64506-3511
(816) 271-8182
(816) 271-8183
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2003028172
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699831222
—
MO
05
—
200629780A
—
KS
05
—
701000004
—
MO
01
—
P00671527
RR MEDICARE
MO
Enumeration date
12/28/2006
Last updated
03/04/2011
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