Provider Demographics
NPI:1386887198
Name:SHARMA, RUPA KUMARI (MD)
Entity type:Individual
Prefix:
First Name:RUPA
Middle Name:KUMARI
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 WILSON CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-1095
Mailing Address - Country:US
Mailing Address - Phone:812-496-8794
Mailing Address - Fax:812-537-4979
Practice Address - Street 1:606 WILSON CREEK RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1095
Practice Address - Country:US
Practice Address - Phone:812-496-8794
Practice Address - Fax:812-537-4979
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY284585207RG0100X
IN01091467A207RG0100X
OH35.147774207RG0100X
KY58513207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY284585OtherNY LICENSE