Individual
ABHILASHA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
847 W CHILDS AVE, MERCED, CA 95341-6862
(209) 383-7441
(209) 383-7813
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(209) 384-6488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A123145
CA
207Q00000X
Family Medicine Physician
RL11595
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A123145
MEDICAL LICENSE
CA
Enumeration date
07/28/2010
Last updated
12/05/2017
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