Sharma, Mamta

Sharma, Mamta is an individual health care provider with primary practice located at 19251 Mack Ave , Grosse Pointe Woods MI 48236-2893. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Sharma, Mamta can be contacted via phone (313) 343-7280.

Contact Information

Primary practice address
19251 Mack Ave Grosse Pointe Woods MI 48236-2893
Fax: (313) 343-7921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301067180 Michigan

Profile Details

NPI number 1013900570
LBN Legal business name Sharma, Mamta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 9th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013900570 NPPES
Other 4301067180 CONTROLLED SUBSTANCE
MEDICAID 4466620 CONTROLLED SUBSTANCE
Other 05274626 CONTROLLED SUBSTANCE

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