Physician Compare National (NPI:1215035407)

HEALTHCARE PROVIDER: RITA SHARMA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1215035407
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597652735
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041207000400
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHARMA
	Individual professional last name
Provider First Name	RITA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1922 NORTHLAKE PKWY
	Group Practice or individual's line 1 address
City	TUCKER
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300847009
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110076
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DEKALB MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110192
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EASTSIDE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y