Provider Demographics
NPI:1275528804
Name:SHARMA, NAGARAJA D (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGARAJA
Middle Name:D
Last Name:SHARMA
Suffix:
Gender:M
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:PO BOX 21727
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-1727
Mailing Address - Country:US
Mailing Address - Phone:727-862-8383
Mailing Address - Fax:727-863-4766
Practice Address - Street 1:7614 JACQUE RD
Practice Address - Street 2:STE C
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7195
Practice Address - Country:US
Practice Address - Phone:727-862-8383
Practice Address - Fax:727-868-1130
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90342207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270189800Medicaid
FL46095OtherBCBS
P00179067OtherRRW MCR
FL46095YMedicare PIN
H07114Medicare UPIN
FL270189800Medicaid