Provider Demographics
NPI:1902541949
Name:SHARMA, SHWETA RAKESH (MBBS)
Entity type:Individual
Prefix:
First Name:SHWETA
Middle Name:RAKESH
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SEAVIEW AVENUE, DEPARTMENT OF PEDIATRICS
Mailing Address - Street 2:STATEN ISLAND UNIVERSITY HOSPITAL
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305
Mailing Address - Country:US
Mailing Address - Phone:718-226-9359
Mailing Address - Fax:718-226-3191
Practice Address - Street 1:475 SEAVIEW AVENUE, DEPARTMENT OF PEDIATRICS
Practice Address - Street 2:STATEN ISLAND UNIVERSITY HOSPITAL
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305
Practice Address - Country:US
Practice Address - Phone:718-226-9359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program