Individual
SEAN SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
(765) 762-4000
Mailing address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01061480A
IN
208000000X
Pediatrics Physician
01061480A
IN
208D00000X
General Practice Physician
Primary
01061480A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200826800
—
IN
Enumeration date
06/23/2006
Last updated
08/16/2022
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