Individual
SHARITA NAGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
280908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04198472
—
NY
Enumeration date
01/06/2010
Last updated
02/07/2025
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