Individual
PERUMUNDA KRISHNA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SMITH DR, CORINTH, NY 12822-1341
(518) 525-1324
(518) 383-4223
Mailing address
3 CRAILO CT, LOUDONVILLE, NY 12211-2643
(518) 785-4009
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
138944-1
NY
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
138944
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00680002
—
NY
Enumeration date
07/03/2006
Last updated
05/13/2021
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