| Rishi Sharma MD | |
|
4474 Edgewater Dr Orlando FL 32804-1216 | |
| (407) 628-4545 | |
| (407) 637-5679 |
| Full Name | Rishi Sharma MD |
|---|---|
| Speciality | General Practice |
| Location | 4474 Edgewater Dr, Orlando, Florida |
| Authorized Official Name and Position | Rishi Sharma (OWNER/CEO) |
| Authorized Official Contact | 8648383183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rishi Sharma MD 4474 Edgewater Dr Orlando FL 32804-1216 Ph: (407) 628-4545 | Rishi Sharma MD 4474 Edgewater Dr Orlando FL 32804-1216 Ph: (407) 628-4545 |
| NPI Number | 1730778820 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 9739583634 |
|---|---|
| Medicare Enrollment ID | O20210813000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730778820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Rishi Sharma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629598065 PECOS PAC ID: 0244667038 Enrollment ID: I20200217000216 |
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