MEDICARE: RAJKUMAR R SARMA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD 070138L	PA
2	2084P0805X	Geriatric Psychiatry Physician	MD 070138L	PA

General Provider Information

NPI Number	:	1184622508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJKUMAR R SARMA M.D.

Provider Business Mailing Address
First Line	:	12 EASTERN AVE
Second Line	:	SUITE 100
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3038
Country	:	US
Telephone Number	:	412-782-1000
Fax Number	:	412-782-4550

Provider Business Practice Location Address
First Line	:	12 EASTERN AVE
Second Line	:	SUITE 100
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3038
Country	:	US
Telephone Number	:	412-782-1000
Fax Number	:	412-782-4550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	04/22/2014

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