Individual
AJAY J SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30809 1ST AVE S, FEDERAL WAY, WA 98003-4074
(253) 839-2030
Mailing address
30809 1ST AVE S, FEDERAL WAY, WA 98003-4074
(253) 839-2030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13882
NH
207Q00000X
Family Medicine Physician
Primary
MD60438798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038953
—
WA
05
—
3072837
—
NH
Enumeration date
06/04/2007
Last updated
12/09/2020
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