Provider Demographics
NPI:1316470222
Name:SHARMA AND SHARMA MEDICAL PLLC
Entity type:Organization
Organization Name:SHARMA AND SHARMA MEDICAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:SATYAVATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-699-7645
Mailing Address - Street 1:105 STEVENS AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2682
Mailing Address - Country:US
Mailing Address - Phone:914-699-7645
Mailing Address - Fax:914-359-6999
Practice Address - Street 1:105 STEVENS AVE STE 208
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2682
Practice Address - Country:US
Practice Address - Phone:914-699-7645
Practice Address - Fax:914-359-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150857207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty