Individual
HIMANSHU S SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 GRAND AVE, SAINT PAUL, MN 55102-2331
(651) 241-5200
(651) 241-6427
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36112
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124566
MEDICA
—
05
—
072363100
—
MN
01
—
111896P648
UCARE
—
01
—
631M6SH
BCBS
—
01
—
HP20369
HEALTH PARTNERS
—
01
—
NA3981018953
PREFERRED ONE
—
01
—
P00362779
MEDICARE RAILROAD
—
Enumeration date
04/04/2006
Last updated
12/21/2020
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