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NPI Code Detail

MEDICARE: DR. SURENDRA KUMAR SHARMA M.D

MEDICARE: DR. SURENDRA KUMAR 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
12084P0800XPsychiatry Physician46738TN

General Provider Information

NPI Number : 1841516440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SURENDRA KUMAR SHARMA M.D
Provider Business Mailing Address
First Line : 1451 DOWELL SPRINGS BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-2441
Country : US
Telephone Number : 865-374-7123
Fax Number : 865-374-7129
Provider Business Practice Location Address
First Line : 2347 JONES BEND RD
Second Line :
City : LOUISVILLE
State : TN
Zip : 37777-5213
Country : US
Telephone Number : 895-970-9800
Fax Number : 865-374-7129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2010
Last Update Date : 08/11/2011

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