MEDICARE: RAJESH 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	35070579S	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	110218525	OTHER	RR MEDICARE INDIVIDUAL
4	9273172	OTHER	GROUP MEDICARE
5	3610861	OTHER	GROUP ASC MEDICARE
8	CA4511	OTHER	RR MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	D368301	OTHER	GROUP IND DIAGNOSTICS MED
3	10799176	OTHER	CAQH
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	103310	OTHER	KAISER
9	1780634279	OTHER	GROUP NPI
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609843820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJESH SHARMA MD

Provider Business Mailing Address
First Line	:	20525 CENTER RIDGE RD
Second Line	:	SUITE 220
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-3437
Country	:	US
Telephone Number	:	440-895-5056
Fax Number	:	440-333-2935

Provider Business Practice Location Address
First Line	:	2709 FRANKLIN BLVD
Second Line	:	SUITE 2E
City	:	CLEVELAND
State	:	OH
Zip	:	44113-2993
Country	:	US
Telephone Number	:	216-363-5720
Fax Number	:	216-363-5721

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	03/25/2009

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Directions to “ RAJESH SHARMA MD” Practice Location

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