Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 18736 | NV |
N | 208200000X | Surgeon | 18736 | NV |
N | 208600000X | Surgeon | 18736 | NV |
Y | 208200000X | Surgeon | 4301503086 | MI |
Y | 208600000X | Surgeon | 4301503086 | MI |
NPI | 1174757652 |
---|---|
Provider Name | Dr. Rajeev Sharma |
First Address | Detroit, MI 48201-2153 |
Second Address | Detroit, MI 48201-2059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03581615 | (05) | NY |
250001243 | (05) | NV |
J400093814 | MEDICARE UPSTATE (01) | NY |
V58384 | MEDICARE - NV (01) | NV |