Sharma, Kunjbala
Sharma, Kunjbala is an individual health care provider with primary practice located at 1145 Main St , Pawtucket RI 02860-4807. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sharma, Kunjbala can be contacted via phone (401) 722-0081.Contact Information
Primary practice address
1145 Main St
Pawtucket RI 02860-4807
Phone: (401) 722-0081
Fax: (401) 312-0318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 39079 | Massachusetts |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 39079 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD07897 | Rhode Island |
Profile Details
| NPI number | 1477618528 |
|---|---|
| LBN Legal business name | Sharma, Kunjbala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 12th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477618528 | NPPES |
| Rhode Island | Other | 400561 | BC BS OF RI (BLUECHIP) |
| Rhode Island | MEDICAID | 9765239 | BC BS OF RI (BLUECHIP) |
| Rhode Island | Other | 400561 | BC BS OF RI (BLUECHIP) |
| Rhode Island | Other | 961244-01 | BC BS OF RI (BLUECHIP) |
| Rhode Island | Other | E05285 | BC BS OF RI (BLUECHIP) |
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