MEDICARE: DR. RAMESH SHARMA MD RDMS RDCS RVT

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	208D00000X	General Practice Physician	A30107	CA
2	246XC2901X	Cardiovascular Invasive Specialist/Technologist	25254	NC
3	2471C1101X	Cardiovascular-Interventional Technology Radiologic Technologist	25254	NC
4	2471S1302X	Sonography Radiologic Technologist	112482	MD
5	2471V0105X	Vascular Sonography Radiologic Technologist	112482	MD
6	2471V0106X	Vascular-Interventional Technology Radiologic Technologist	25254	NC

General Provider Information

NPI Number	:	1790176782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMESH SHARMA MD RDMS RDCS RVT

Provider Business Mailing Address
First Line	:	16352 KEELER DR
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-3035
Country	:	US
Telephone Number	:	818-468-9683
Fax Number	:	818-360-7494

Provider Business Practice Location Address
First Line	:	16352 KEELER DR
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-3035
Country	:	US
Telephone Number	:	818-468-9683
Fax Number	:	818-360-7494

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

Provider Enumeration Date	:	02/11/2015
Last Update Date	:	02/11/2015

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