MEDICARE: MR. ARUN KUMAR SHARMA

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	347C00000X	Private Vehicle	GNB32007-33281	CA

General Provider Information

NPI Number	:	1558701870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARUN KUMAR SHARMA

Provider Business Mailing Address
First Line	:	4732 PACIFIC PARK DR
Second Line	:
City	:	ANTELOPE
State	:	CA
Zip	:	95843-4326
Country	:	US
Telephone Number	:	916-335-5122
Fax Number	:

Provider Business Practice Location Address
First Line	:	4732 PACIFIC PARK DR
Second Line	:
City	:	ANTELOPE
State	:	CA
Zip	:	95843-4326
Country	:	US
Telephone Number	:	916-335-5122
Fax Number	:

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

Provider Enumeration Date	:	07/01/2013
Last Update Date	:	07/01/2013

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Directions to “ MR. ARUN KUMAR SHARMA ” Practice Location

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