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1255369526

NPI Code Detail

MEDICARE: DR. ASHISH G SHARMA MD

MEDICARE: DR. ASHISH G SHARMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	4301080327	MI
2	207W00000X	Ophthalmology Physician	ME101664	FL
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	ME101664	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CA7010	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255369526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHISH G SHARMA MD

Provider Business Mailing Address
First Line	:	6901 INTERNATIONAL CENTER BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-7125
Country	:	US
Telephone Number	:	239-939-4323
Fax Number	:	239-939-3983

Provider Business Practice Location Address
First Line	:	6901 INTERNATIONAL CENTER BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-7125
Country	:	US
Telephone Number	:	239-939-4323
Fax Number	:	239-939-3983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	12/01/2017

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Practice Location Address:

6901 INTERNATIONAL CENTER BLVD
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Practice Location Address:

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Practice Location Address:

6901 INTERNATIONAL CENTER BLVD
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1306806641 — DR. JOSEPH P WALKER M.D.
Practice Location Address:

6901 INTERNATIONAL CENTER BLVD
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33912-7125

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Practice Fax: 239-939-3983

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Practice Location Address:

6901 INTERNATIONAL CENTER BLVD
FORT MYERS, FL
33912-7125

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1326823436 — RAISA DIAZ GUERRERO
Practice Location Address:

1129 TRAVIS AVE
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Practice Fax:

Directions to “ DR. ASHISH G SHARMA MD” Practice Location

Language	Start Address	Practice Location

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