MEDICARE: TUSHAR 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1588006498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUSHAR SHARMA

Provider Business Mailing Address
First Line	:	3105 COLEMAN ST
Second Line	:	#B
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-3807
Country	:	US
Telephone Number	:	702-202-2567
Fax Number	:	702-202-6919

Provider Business Practice Location Address
First Line	:	3105 COLEMAN ST
Second Line	:	#B
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-3807
Country	:	US
Telephone Number	:	702-202-2567
Fax Number	:	702-202-6919

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

Provider Enumeration Date	:	07/19/2013
Last Update Date	:	07/19/2013

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Directions to “ TUSHAR SHARMA ” Practice Location

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