Provider Demographics
NPI:1184622508
Name:SARMA, RAJKUMAR R (MD)
Entity type:Individual
Prefix:
First Name:RAJKUMAR
Middle Name:R
Last Name:SARMA
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 1:12 EASTERN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3038
Mailing Address - Country:US
Mailing Address - Phone:412-782-1000
Mailing Address - Fax:412-782-4550
Practice Address - Street 1:12 EASTERN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3038
Practice Address - Country:US
Practice Address - Phone:412-782-1000
Practice Address - Fax:412-782-4550
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-09
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 070138L2084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH05878Medicare UPIN
PA032588Medicare PIN