Individual
DR. SHASHI SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 ERIE CANAL DRIVE, STE D, ROCHESTER, NY 14626-4605
(585) 723-1414
(585) 723-3390
Mailing address
121 ERIE CANAL DR STE D, ROCHESTER, NY 14626-4605
(585) 723-1414
(585) 723-3390
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
118447
NY
207VM0101X
Maternal & Fetal Medicine Physician
118447
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000502085001
BLUE SHIELD OF WESTERN NY
NY
05
—
00453076
—
NY
01
—
100672CO
PREFERRED CARE
NY
01
—
5543138
AETNA
NY
01
—
P010118447
BLUE CHOICE
NY
Enumeration date
08/29/2006
Last updated
11/04/2014
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