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General NPI Number Information
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NPI Number | 1780689331
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Entity Type | Individual
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Provider Name | RAJENDRA SUNITA SHARMA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 16271 BASS RD FL 2
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City | FORT MYERS
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State | FL
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Zip | 33908-3616
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Country | US
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Telephone | 239-343-9710
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Fax | 239-343-4178
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-9710
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Fax | 239-343-9715
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME0097984
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 040933
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License Number State | CT
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