MEDICARE: DR. PRATURI Y SHARMA M.D

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	2084P0800X	Psychiatry Physician	ME0051901	FL

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

General Provider Information

NPI Number	:	1598704108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRATURI Y SHARMA M.D

Provider Business Mailing Address
First Line	:	16244 MILITARY TRL
Second Line	:	SUITE 250
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6534
Country	:	US
Telephone Number	:	561-499-4739
Fax Number	:	561-499-7371

Provider Business Practice Location Address
First Line	:	16244 MILITARY TRL
Second Line	:	SUITE 250
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6534
Country	:	US
Telephone Number	:	561-499-4739
Fax Number	:	561-499-7371

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	09/06/2023

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