Individual
SANJAY SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12221 MERIT DR STE 1500, DALLAS, TX 75251-2235
(214) 217-1911
Mailing address
2819 N FITZHUGH AVE, APT 1230, DALLAS, TX 75204-3144
(312) 203-0420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q0172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162500611
—
TX
Enumeration date
12/20/2013
Last updated
10/13/2014
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