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 # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
121741
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710299458
—
MI
Enumeration date
07/10/2010
Last updated
06/08/2016
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