MEDICARE: DR. RAJENDRA SUNITA 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	207RI0200X	Infectious Disease Physician	ME0097984	FL
2	174400000X	Specialist	040933	CT

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780689331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJENDRA SUNITA SHARMA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-9710
Fax Number	:	239-343-9715

Provider Business Practice Location Address
First Line	:	16271 BASS RD FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3616
Country	:	US
Telephone Number	:	239-343-9710
Fax Number	:	239-343-4178

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	05/13/2025

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