Individual
MOHIT SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2190
(631) 473-1320
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2190
(631) 473-1320
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
310292
NY
207RC0000X
Cardiovascular Disease Physician
663661
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
06/17/2021
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