MEDICARE: RAVINDER K SHARMA MD PLLC

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	2084N0400X	Neurology Physician	4301056788	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0130141	OTHER	MI	BLUE CROSS BLUE SHIELF
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871811240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAVINDER K SHARMA MD PLLC

Provider Business Mailing Address
First Line	:	601 S SHORE DR
Second Line	:	SUITE 330
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5440
Country	:	US
Telephone Number	:	269-964-1300
Fax Number	:	269-964-9493

Provider Business Practice Location Address
First Line	:	601 S SHORE DR
Second Line	:	SUITE 330
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5440
Country	:	US
Telephone Number	:	269-964-1300
Fax Number	:	269-964-9493

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAVINDER K SHARMA
Credential	:	MD
Telephone Number	:	269-964-1300

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	05/11/2010

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