Provider Demographics
NPI:1720052202
Name:SHARPE, RICHARD POWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:POWELL
Last Name:SHARPE
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 1:620 JOHN PAUL JONES CIR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2111
Mailing Address - Country:US
Mailing Address - Phone:757-953-9279
Mailing Address - Fax:757-953-0845
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:DEPT OF GENERAL SURGERY
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-9279
Practice Address - Fax:757-953-0845
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063541L2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery