Individual
SURINA SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 712-7533
Mailing address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 712-7533
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
85978
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME140979
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103845500
—
FL
Enumeration date
07/08/2015
Last updated
09/16/2020
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