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Individual

MUKTA SHARMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
804 SERVICE RD, A225, EAST LANSING, MI 48824-7015
(517) 353-4941
(517) 432-3145
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 353-4941
(517) 432-3145

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
121741
OH
207R00000X
Internal Medicine Physician
Primary
4301108631
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710299458
MI
Enumeration date
07/10/2010
Last updated
06/08/2026
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