Individual
MUKESH KUMAR SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5437 KIETZKE LN, RENO, NV 89511-1088
(775) 322-4550
(775) 322-4956
Mailing address
5437 KIETZKE LN, RENO, NV 89511-1088
(775) 322-4550
(775) 322-4956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19222
NV
207RN0300X
Nephrology Physician
Primary
19222
NV
2086S0129X
Vascular Surgery Physician
19222
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12716190
CAQH
NV
05
—
1871704122
—
NV
Enumeration date
05/25/2007
Last updated
04/18/2024
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