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NPI Code Detail

MEDICARE: SHALINI A SHARMA M.D.

MEDICARE: SHALINI A SHARMA M.D.
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
1207L00000XAnesthesiology Physician53065WI

General Provider Information

NPI Number : 1336330604
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHALINI A SHARMA M.D.
Provider Business Mailing Address
First Line : 9200 W WISCONSIN AVE
Second Line : DEPARTMENT OF ANESTHESIA
City : WAUWATOSA
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 414-805-6104
Fax Number : 414-805-6147
Provider Business Practice Location Address
First Line : 9200 W WISCONSIN AVE
Second Line : DEPARTMENT OF ANESTHESIA
City : WAUWATOSA
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 414-805-6104
Fax Number : 414-805-6147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2007
Last Update Date : 07/08/2011

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