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Individual

AMIT SHARMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, FACP, FASN

Contact information

Practice address
3525 E LOUISE DR, STE100, MERIDIAN, ID 83642
(208) 846-8335
Mailing address
3525 E LOUISE DR, STE100, MERIDIAN, ID 83642
(208) 846-8335

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M9269
ID
207RN0300X
Nephrology Physician
Primary
M9269
ID

Other

Enumeration date
06/16/2006
Last updated
06/07/2008
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