Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35092784 | OH |
N | 111NI0900X | Internist | 35092784 | OH |
Y | 207RC0200X | Critical Care Medicine | 49456 | AZ |
N | 207RC0200X | Critical Care Medicine | MD60683623 | WA |
NPI | 1013137918 |
---|---|
Provider Name | Ramakant Sharma |
First Address | Phoenix, AZ 85012-2368 |
Second Address | Phoenix, AZ 85012-2368 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 25/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
954840 | (05) | AZ |