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Individual

RACHANA SHARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
PO BOX 602658, WAKE FOREST UNIVERSITY HEALTH SCIENCES, CHARLOTTE, NC 28260-2658
(336) 716-2255
(336) 716-3202

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
42619
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2012-02319
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679708077
TRICARE
NC
01
1679708077
VIRGINIA MEDICAID
VA
05
1679708077
NC
01
179TG
BCBS
NC
05
200951830
IN
01
267251
MEDCOST
NC
01
3122478
UNITED HEALTHCARE
NC
01
3810026071
WV MEDICAID
WV
05
7100080670
KY
01
9413414
AETNA
NC
01
Q02319
SC MEDICAID
SC
Enumeration date
05/28/2009
Last updated
03/27/2018
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