Individual
DR. RAVI SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7767 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5004
(352) 621-0777
(352) 382-2491
Mailing address
7767 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5004
(352) 621-0777
(352) 382-2491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME78774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457587438
MEDICARE NPI
FL
01
—
186659
WELLCARE
FL
01
—
47119
BCBS
FL
01
—
BV150
MEDICARE PTAN
FL
01
—
P00734987
MEDICARE RAILROAD PTAN
FL
Enumeration date
11/10/2005
Last updated
06/11/2012
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