Healthcare Provider Details

I. General information

NPI: 1629156476
Provider Name (Legal Business Name): RASHMI SHARMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 COLLIER BLVD SUITE 400
NAPLES FL
34114-3625
US

IV. Provider business mailing address

1204 HERNANDO ST
NAPLES FL
34103-3249
US

V. Phone/Fax

Practice location:
  • Phone: 239-331-7144
  • Fax: 239-595-4590
Mailing address:
  • Phone: 239-404-0660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberG76555
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME112830
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: