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Individual

VIRENDRA SHARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 HOBART ST, UTICA, NY 13501-4308
(315) 798-1149
(315) 734-3565
Mailing address
120 HOBART ST, UTICA, NY 13501-4308
(315) 798-1149
(315) 734-3565

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
214968-1
NY
208M00000X
Hospitalist Physician
Primary
214964
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02077172
NY
Enumeration date
10/31/2005
Last updated
06/25/2024
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