Healthcare Provider Details

I. General information

NPI: 1376731406
Provider Name (Legal Business Name): DINESH SHARMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 08/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 9TH ST N STE 300
NAPLES FL
34102-5820
US

IV. Provider business mailing address

399 9TH ST N STE 300
NAPLES FL
34102-5820
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-4200
  • Fax: 239-624-4201
Mailing address:
  • Phone: 239-624-4200
  • Fax: 239-624-4201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number47243
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME128741
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: