Individual
SAMAR SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2250
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
268953-1
NY
207P00000X
Emergency Medicine Physician
35.123659
OH
207P00000X
Emergency Medicine Physician
Primary
54384
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106120
—
OH
05
—
300047449
—
IN
05
—
7100695660
—
KY
Enumeration date
06/26/2009
Last updated
02/21/2025
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