Provider Demographics
NPI:1598704108
Name:SHARMA, PRATURI Y (MD)
Entity Type:Individual
Prefix:DR
First Name:PRATURI
Middle Name:Y
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16244 MILITARY TRL
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6534
Mailing Address - Country:US
Mailing Address - Phone:561-499-4739
Mailing Address - Fax:561-499-7371
Practice Address - Street 1:16244 MILITARY TRL
Practice Address - Street 2:SUITE 250
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6534
Practice Address - Country:US
Practice Address - Phone:561-499-4739
Practice Address - Fax:561-499-7371
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00519012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL04936Medicare ID - Type Unspecified
FLD51138Medicare UPIN