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General NPI Number Information
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NPI Number | 1114333671
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Entity Type | Individual
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Provider Name | KEDAR G SHARBIDRE MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2014
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1717 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1801
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Country | US
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Telephone | 800-822-8816
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Fax |
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Provider Business Mailing Address
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Address Line | 1770 IOWA AVE STE 280
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City | RIVERSIDE
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State | CA
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Zip | 92507-7401
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Country | US
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Telephone | 951-786-0801
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0026407
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | V2826
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L.4694SP
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME162094
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License Number State | FL
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