Provider Demographics
NPI:1790176782
Name:SHARMA, RAMESH (MD RDMS RDCS RVT)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD RDMS RDCS RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16352 KEELER DR
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-3035
Mailing Address - Country:US
Mailing Address - Phone:818-468-9683
Mailing Address - Fax:818-360-7494
Practice Address - Street 1:16352 KEELER DR
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-3035
Practice Address - Country:US
Practice Address - Phone:818-468-9683
Practice Address - Fax:818-360-7494
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30107208D00000X
NC25254246XC2901X, 2471C1101X, 2471V0106X
MD1124822471S1302X, 2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No246XC2901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularCardiovascular Invasive Specialist
No2471C1101XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistCardiovascular-Interventional Technology
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography
No2471V0106XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular-Interventional Technology