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SOORYA K. SHARMAMDPC NPI 1467464883


NPI Information

NPI: 1467464883
Provider Name: SOORYA K. SHARMA,MDPC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2660 44TH ST SW
SUITE 100
WYOMING, MI
ZIP 49519
Phone: (616) 974-9760
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SOORYA K. SHARMA,MDPC is a family medicine in Wyoming, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOORYA K. SHARMA,MDPC NPI is 1467464883. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2660 44TH ST SW
SUITE 100
WYOMING, MI
ZIP 49519-200
Phone: (616) 974-9760
Fax: (616) 974-9769

The provider's authorized official is Soorya Kant Sharma .
The authorized official title is President and has the following contact phone number (616) 974-9760.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 7/2/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301065270MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G72795MEDICARE UPIN
20N99140MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
34467117MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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