Provider Demographics
NPI:1407601909
Name:SHARMA, KUNAL (MBBS)
Entity Type:Individual
Prefix:
First Name:KUNAL
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 S MESA HILLS DR APT 2112
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5190
Mailing Address - Country:US
Mailing Address - Phone:915-241-1282
Mailing Address - Fax:
Practice Address - Street 1:4800 ALBERTA AVE # MSC41007
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2700
Practice Address - Country:US
Practice Address - Phone:915-215-4116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program