Individual
DR. RONALD LEWIS SHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621-3001
(585) 922-4020
(585) 922-4622
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
162932
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01177884
—
NY
Enumeration date
06/05/2006
Last updated
04/09/2019
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