Individual
MUKTA S. SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3018 DIXWELL AVE, ATTN: CREDENTIALING, HAMDEN, CT 06518-3508
(203) 281-5910
(203) 281-2311
Mailing address
3018 DIXWELL AVE, ATTN: CREDENTIALING, HAMDEN, CT 06518-3508
(203) 281-5910
(203) 281-2311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253460
NY
207RR0500X
Rheumatology Physician
Primary
53061
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
Enumeration date
06/23/2009
Last updated
10/29/2014
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