Healthcare Provider Details

I. General information

NPI: 1750332425
Provider Name (Legal Business Name): NEERAJ RAMAN SHARMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PRESTON RD SUITE 400
PLANO TX
75093-5186
US

IV. Provider business mailing address

1400 PRESTON RD SUITE 400
PLANO TX
75093-5186
US

V. Phone/Fax

Practice location:
  • Phone: 972-632-2358
  • Fax: 877-884-3992
Mailing address:
  • Phone: 972-632-2358
  • Fax: 877-884-3992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberK3644
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK3644
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: