Provider Demographics
NPI:1629156476
Name:SHARMA, RASHMI (MD)
Entity Type:Individual
Prefix:
First Name:RASHMI
Middle Name:
Last Name:SHARMA
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 1:1204 HERNANDO ST
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3249
Mailing Address - Country:US
Mailing Address - Phone:239-404-0660
Mailing Address - Fax:
Practice Address - Street 1:8340 COLLIER BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-3625
Practice Address - Country:US
Practice Address - Phone:239-331-7144
Practice Address - Fax:239-595-4590
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG765552086S0129X
FLME1128302086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004858200Medicaid
CA00G765550Medicaid
FLGB421ZOtherMEDICARE PTAN
CA00G765550Medicaid
G98644Medicare UPIN