Provider Demographics
NPI:1750332425
Name:SHARMA, NEERAJ RAMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NEERAJ
Middle Name:RAMAN
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 1:1400 PRESTON RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5186
Mailing Address - Country:US
Mailing Address - Phone:972-632-2358
Mailing Address - Fax:877-884-3992
Practice Address - Street 1:1400 PRESTON RD
Practice Address - Street 2:SUITE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5186
Practice Address - Country:US
Practice Address - Phone:972-632-2358
Practice Address - Fax:877-884-3992
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3644207RH0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042080408Medicaid
TX042080404Medicaid
TX042080407Medicaid
TX042080409Medicaid
TXTXB139138Medicare PIN
TX8C0260Medicare ID - Type Unspecified
TX042080409Medicaid
TXTXB139134Medicare PIN
TXTXB139135Medicare PIN