MEDICARE: RAGHAV SHARMA MD

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	207R00000X	Internal Medicine Physician	272390	NY
2	208600000X	Surgery Physician	MT197908	PA
3	207RI0011X	Interventional Cardiology Physician	ME139953	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	QH446	OTHER	FL	HF MA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477872885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAGHAV SHARMA MD

Provider Business Mailing Address
First Line	:	1035 N ORLANDO AVE STE 205
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2213
Country	:	US
Telephone Number	:	321-274-8701
Fax Number	:	321-274-8702

Provider Business Practice Location Address
First Line	:	1035 N ORLANDO AVE STE 205
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2213
Country	:	US
Telephone Number	:	321-274-8701
Fax Number	:	321-274-8702

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

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	08/03/2023

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Directions to “ RAGHAV SHARMA MD” Practice Location

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