Provider Demographics
NPI:1578556783
Name:SHARKEY, PAULA M (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:M
Last Name:SHARKEY
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 1:539 E PRUDHOMME ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-6499
Mailing Address - Country:US
Mailing Address - Phone:337-942-6883
Mailing Address - Fax:
Practice Address - Street 1:539 E PRUDHOMME ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6499
Practice Address - Country:US
Practice Address - Phone:337-942-6883
Practice Address - Fax:337-942-6883
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11825R2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA300103794OtherRAILROAD RETIREMENT MEDIC
LA1694002Medicaid
LA5Y286B799Medicare ID - Type Unspecified
LA1694002Medicaid