Individual
VENKATA KRISHNA SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 30TH AVE, SUITE 201, KENOSHA, WI 53144
(262) 652-7813
(262) 652-4450
Mailing address
3535 30TH AVE, SUITE 201, KENOSHA, WI 53144
(262) 652-7813
(262) 652-4450
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
21846
WI
2084P0800X
Psychiatry Physician
21846
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30205800
—
WI
Enumeration date
07/20/2005
Last updated
09/07/2007
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