Provider Demographics
NPI:1184658684
Name:SHARMA, RAJAMALLIGA N (MD, MA)
Entity Type:Individual
Prefix:MRS
First Name:RAJAMALLIGA
Middle Name:N
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2290 MOORES MILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-8431
Mailing Address - Country:US
Mailing Address - Phone:334-502-9888
Mailing Address - Fax:334-502-9190
Practice Address - Street 1:2290 MOORES MILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8431
Practice Address - Country:US
Practice Address - Phone:334-502-9888
Practice Address - Fax:334-502-9190
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20979207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51503912OtherBCBS OF AL PROVIDER #
ALG64771Medicare UPIN
AL51503912OtherBCBS OF AL PROVIDER #