Individual
DR. JITENDRA N SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3611 S REED RD, SUITE 101, KOKOMO, IN 46902-3828
(765) 453-0891
(765) 453-1407
Mailing address
3611 S REED RD, SUITE 101, KOKOMO, IN 46902-3828
(765) 453-0891
(765) 453-1407
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
1034212
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100137030
—
IN
Enumeration date
11/16/2005
Last updated
12/30/2013
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