Provider Demographics
NPI:1881033900
Name:SATISH K SHARMA MD PC
Entity Type:Organization
Organization Name:SATISH K SHARMA MD PC
Other - Org Name:ADVANCED PAIN MANAGEMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SATISH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-739-8323
Mailing Address - Street 1:PO BOX 30516
Mailing Address - Street 2:DEPT 9102
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48909-8016
Mailing Address - Country:US
Mailing Address - Phone:702-739-8323
Mailing Address - Fax:
Practice Address - Street 1:9029 S PECOS RD
Practice Address - Street 2:SUITE 2800
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7197
Practice Address - Country:US
Practice Address - Phone:702-739-8323
Practice Address - Fax:702-739-8605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11513207LP2900X, 208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty