Organization
RAINBOW MEDICAL HOME PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIUSH SHARMA MD (OWNER)
(585) 594-5008
Entity
Organization
Contact information
Practice address
4415 BUFFALO RD, NORTH CHILI, NY 14514-1024
(585) 594-5008
(585) 594-1003
Mailing address
4415 BUFFALO RD, NORTH CHILI, NY 14514-1024
(585) 594-5008
(585) 594-1003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
140437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00456982
—
NY
Enumeration date
08/25/2010
Last updated
08/25/2010
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