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NPI Code Detail

MEDICARE: JAYA SHARMA M.D.

MEDICARE:   JAYA  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
1207RH0003XHematology & Oncology Physician036.138655IL
2207R00000XInternal Medicine Physician50422-020WI
3207R00000XInternal Medicine Physician235024MA

General Provider Information

NPI Number : 1710184197
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYA SHARMA M.D.
Provider Business Mailing Address
First Line : 1500 S CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-542-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 10/19/2023

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