Provider Demographics
NPI:1295744019
Name:SRA, SHARON KAUR (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:KAUR
Last Name:SRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 W SUNSET RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2797
Mailing Address - Country:US
Mailing Address - Phone:210-829-5755
Mailing Address - Fax:
Practice Address - Street 1:131 W SUNSET RD STE 106
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2797
Practice Address - Country:US
Practice Address - Phone:210-829-5755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3745207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183771801Medicaid
TX8J0619OtherMEDICARE PIN
TXM3745OtherPHYSICIAN PERMIT
TX8J0620Medicare PIN
TXI65921Medicare UPIN