Individual
MRS. RHONDA L SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 N DETROIT ST, LAGRANGE, IN 46761-1154
(260) 463-4896
(260) 463-5242
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047132
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000679273
ANTHEM
IN
05
—
200102520
—
IN
Enumeration date
07/11/2006
Last updated
10/10/2022
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