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1114919073

NPI Code Detail

MEDICARE: PAWAN K SHARMA MD

MEDICARE: PAWAN K SHARMA 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
1	207RC0000X	Cardiovascular Disease Physician	319328-1205	UT
2	207RI0011X	Interventional Cardiology Physician	319328-1205	UT
3	207UN0901X	Nuclear Cardiology Physician	319328-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114919073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAWAN K SHARMA MD

Provider Business Mailing Address
First Line	:	1160 E 3900 S
Second Line	:	STE 2000
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1202
Country	:	US
Telephone Number	:	801-266-3418
Fax Number	:	801-288-4444

Provider Business Practice Location Address
First Line	:	1160 E 3900 S
Second Line	:	STE 2000
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1202
Country	:	US
Telephone Number	:	801-266-3418
Fax Number	:	801-288-4444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	10/20/2021

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Directions to “ PAWAN K SHARMA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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