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Organization
RAKESH SHARMA PHYSICIAN PC
Active
Organization
RAKESH SHARMA PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH SHARMA M.D. (PHYSICIAN)
(631) 588-8393
Entity
Organization
Contact information
Practice address
122 PORTION RD, SUITE 104, LAKE RONKONKOMA, NY 11779-4174
(631) 588-8393
(631) 588-2312
Mailing address
122 PORTION RD, SUITE 104, LAKE RONKONKOMA, NY 11779-4174
(631) 588-8393
(631) 588-2312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
161670
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
161670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01110154
—
NY
Enumeration date
02/13/2012
Last updated
02/13/2012
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