Provider Demographics
NPI:1689668998
Name:SHARMA, ARVIND (MD)
Entity Type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:
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 1:2234 COLONIAL BLVD.
Mailing Address - Street 2:ATTN: MANAGED CARE DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:3390 TAMIAMI TRAIL
Practice Address - Street 2:SUITE 201
Practice Address - City:PT. CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8162
Practice Address - Country:US
Practice Address - Phone:941-766-8080
Practice Address - Fax:941-766-8081
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48648208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL336336OtherAVMED
FL02062OtherBCBS FL
FL124288OtherUNIVERSAL
FL340019372OtherRAILROAD MEDICARE
FL002505600Medicaid
FL1193470OtherWELLCARE
FL5480102OtherAETNA
FL02062ZMedicare PIN
FL02062AMedicare PIN
FL336336OtherAVMED