MEDICARE: KIRAN SHARMA , M.D. PA

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	207K00000X	Allergy & Immunology Physician
2	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1235301011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIRAN SHARMA , M.D. PA

Provider Business Mailing Address
First Line	:	PO BOX 58748
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8748
Country	:	US
Telephone Number	:	281-338-6509
Fax Number	:	281-332-1482

Provider Business Practice Location Address
First Line	:	3711 GARTH RD STE 308
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521-3176
Country	:	US
Telephone Number	:	281-420-9886
Fax Number	:	281-420-9888

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KIRAN SHARMA
Credential	:	M.D.
Telephone Number	:	281-338-6509

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	06/23/2009

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