Provider Demographics
NPI:1447601653
Name:RACHAPUDI, SHARON (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:RACHAPUDI
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 1:8702 HUNTERS LAKE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2855
Mailing Address - Country:US
Mailing Address - Phone:813-467-4700
Mailing Address - Fax:813-467-4261
Practice Address - Street 1:8702 HUNTERS LAKE DR STE 100
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2855
Practice Address - Country:US
Practice Address - Phone:813-467-4700
Practice Address - Fax:813-467-4261
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2019-01783208000000X
FLME150634208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics