Individual
PRADEEP SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 FOX STREET, POUGHKEEPSIE, NY 12601
(845) 454-1234
(845) 454-1898
Mailing address
16 STOUTENBURGH DRIVE, HYDE PARK, NY 12538
(845) 229-0209
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
1115831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00526476
—
NY
Enumeration date
11/23/2005
Last updated
07/06/2010
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