Provider Demographics
NPI:1730169319
Name:SHARMA, SATISH KUMAR (MD)
Entity type:Individual
Prefix:MR
First Name:SATISH
Middle Name:KUMAR
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 30516
Mailing Address - Street 2:DEPT 9102
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48909-8016
Mailing Address - Country:US
Mailing Address - Phone:702-739-8323
Mailing Address - Fax:702-739-8605
Practice Address - Street 1:9029 S PECOS RD
Practice Address - Street 2:SUITE 2800
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7197
Practice Address - Country:US
Practice Address - Phone:702-739-8323
Practice Address - Fax:702-739-8605
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2013-05-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV11513207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100507778Medicaid
G76065Medicare UPIN