Provider Demographics
NPI:1417005034
Name:SHARMA, RANJAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RANJAN
Middle Name:
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 1:3201 BRASSFIELD RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9682
Mailing Address - Country:US
Mailing Address - Phone:336-282-2300
Mailing Address - Fax:336-282-0034
Practice Address - Street 1:3201 BRASSFIELD RD
Practice Address - Street 2:SUITE 400
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9682
Practice Address - Country:US
Practice Address - Phone:336-282-2300
Practice Address - Fax:336-282-0034
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC37942207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8975469Medicaid
NC75469OtherNC BLUE CROSS BLUE SHIELD
0207780OtherUNITED HEALTHCARE
32680OtherWELLPATH
83105OtherMEDCOST
F29763Medicare UPIN
NC75469OtherNC BLUE CROSS BLUE SHIELD
NC2172024DMedicare PIN