Provider Demographics
NPI:1649205824
Name:SHARMA, RAKESH K (MD)
Entity Type:Individual
Prefix:DR
First Name:RAKESH
Middle Name:K
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:NANTICOKE
Mailing Address - State:PA
Mailing Address - Zip Code:18634-2456
Mailing Address - Country:US
Mailing Address - Phone:570-735-7590
Mailing Address - Fax:570-836-3118
Practice Address - Street 1:121 S PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NANTICOKE
Practice Address - State:PA
Practice Address - Zip Code:18634-2456
Practice Address - Country:US
Practice Address - Phone:570-735-7590
Practice Address - Fax:570-836-3118
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040951E2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry