Provider Demographics
NPI:1447212964
Name:SHARMA, RAM CHANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:RAM
Middle Name:CHANDRA
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 STONECREST BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6838
Mailing Address - Country:US
Mailing Address - Phone:615-751-0905
Mailing Address - Fax:615-768-5255
Practice Address - Street 1:300 STONECREST BLVD STE 290
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6838
Practice Address - Country:US
Practice Address - Phone:615-751-0905
Practice Address - Fax:615-685-2557
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA57016207RI0011X
UT312533207RS0012X, 207RC0000X
TN44943207RS0012X, 207UN0901X, 207RI0011X, 207RC0000X
UT312533-1205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN46-17771768OtherTAX IDENTIFICATION NUMBER
UT000057626OtherMEDICARE ID
TN3714470OtherGROUP MEDICARE NUMBER
UT000057626OtherMEDICARE ID
TN3714470OtherGROUP MEDICARE NUMBER
UT000012188Medicare PIN