Healthcare Provider Details

I. General information

NPI: 1073018214
Provider Name (Legal Business Name): RAKSHYA SHARMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 07/08/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 S CLIFF AVE
SIOUX FALLS SD
57105-1007
US

IV. Provider business mailing address

1325 S CLIFF AVE
SIOUX FALLS SD
57105-1007
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-8000
  • Fax:
Mailing address:
  • Phone: 605-322-7905
  • Fax: 605-322-8414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number12782
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: