Individual
MAYANK SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4005 HIGH RESORT BLVD SE, INTERNAL MEDICINE, RIO RANCHO, NM 87124-5906
(505) 462-6000
(505) 462-8476
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2024-0207
NM
Other
Enumeration date
05/26/2021
Last updated
07/25/2024
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