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NPI Code Detail

MEDICARE: SHARON EDAMALA MD

MEDICARE: SHARON EDAMALA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramKS

General Provider Information

NPI Number : 1174467054
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON EDAMALA MD
Provider Business Mailing Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number : 913-588-6412
Fax Number : 913-588-6414
Provider Business Practice Location Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number : 913-588-6412
Fax Number : 913-588-6414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ SHARON EDAMALA MD” Practice Location

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