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NPI Code Detail

MEDICARE: PARU KUTTY SHARMA MD

MEDICARE: PARU KUTTY SHARMA MD
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
1207R00000XInternal Medicine Physician036068866IL
2208M00000XHospitalist Physician036068866IL

General Provider Information

NPI Number : 1740215102
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARU KUTTY SHARMA MD
Provider Business Mailing Address
First Line : 3880 SALEM LAKE DR
Second Line : STE F
City : LONG GROVE
State : IL
Zip : 60047-5292
Country : US
Telephone Number : 847-719-2220
Fax Number : 847-719-2265
Provider Business Practice Location Address
First Line : 3880 SALEM LAKE DR
Second Line : STE F
City : LONG GROVE
State : IL
Zip : 60047-5292
Country : US
Telephone Number : 847-719-2220
Fax Number : 847-719-2265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 03/07/2023

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Directions to “ PARU KUTTY SHARMA MD” Practice Location

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