Provider Demographics
NPI:1609843820
Name:SHARMA, RAJESH (MD)
Entity Type:Individual
Prefix:
First Name:RAJESH
Middle Name:
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 1:20525 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3437
Mailing Address - Country:US
Mailing Address - Phone:440-895-5056
Mailing Address - Fax:440-333-2935
Practice Address - Street 1:2709 FRANKLIN BLVD
Practice Address - Street 2:SUITE 2E
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2993
Practice Address - Country:US
Practice Address - Phone:216-363-5720
Practice Address - Fax:216-363-5721
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2009-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35070579S207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D368301OtherGROUP IND DIAGNOSTICS MED
110218525OtherRR MEDICARE INDIVIDUAL
10799176OtherCAQH
9273172OtherGROUP MEDICARE
3610861OtherGROUP ASC MEDICARE
0119204OtherGROUP MEDICAID
103310OtherKAISER
CA4511OtherRR MEDICARE GROUP
1780634279OtherGROUP NPI
OH2039341Medicaid
110218525OtherRR MEDICARE INDIVIDUAL
9273172OtherGROUP MEDICARE
OH0820945Medicare PIN