MEDICARE: SUNITA SHARAN 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	207VG0400X	Gynecology Physician	ME50878	FL

General Provider Information

NPI Number	:	1689610198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNITA SHARAN M.D.

Provider Business Mailing Address
First Line	:	2112 CONSTITUTION BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-4146
Country	:	US
Telephone Number	:	941-922-8848
Fax Number	:	941-925-5934

Provider Business Practice Location Address
First Line	:	2112 CONSTITUTION BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-4146
Country	:	US
Telephone Number	:	941-922-8848
Fax Number	:	941-925-5934

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	03/03/2015

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