Healthcare Provider Details

I. General information

NPI: 1447212964
Provider Name (Legal Business Name): RAM CHANDRA SHARMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STONECREST BLVD STE 290
SMYRNA TN
37167-6838
US

IV. Provider business mailing address

300 STONECREST BLVD STE 290
SMYRNA TN
37167-6838
US

V. Phone/Fax

Practice location:
  • Phone: 615-751-0905
  • Fax: 615-685-2557
Mailing address:
  • Phone: 615-751-0905
  • Fax: 615-768-5255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number312533-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number44943
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number312533
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number57016
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number44943
License Number StateTN
# 6
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number44943
License Number StateTN
# 7
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number312533
License Number StateUT
# 8
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number44943
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: