Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 37942 | NC |
NPI | 1417005034 |
---|---|
Provider Name | Dr. Ranjan Sharma |
First Address | Greensboro, NC 27410-9682 |
Second Address | Greensboro, NC 27410-9682 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 09/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0207780 | UNITED HEALTHCARE (01) | |
32680 | WELLPATH (01) | |
75469 | NC BLUE CROSS BLUE SHIELD (01) | NC |
83105 | MEDCOST (01) | |
8975469 | (05) | NC |
F29763 | (02) |