Organization
KOKOMO NEUROLOGY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JITENDRA N. SHARMA M.D. (PRESIDENT)
(765) 453-0891
Entity
Organization
Contact information
Practice address
3611 S REED RD, SUITE 101, KOKOMO, IN 46902-3828
(765) 453-0891
(765) 453-1407
Mailing address
3611 S REED RD, SUITE 101, KOKOMO, IN 46902-3828
(765) 453-0891
(765) 453-1407
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1034212
IN
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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