Individual
DR. SHAM S MENDIRATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2747 CRESCENT ST, 203, LONG ISLAND CITY, NY 11102-3142
(718) 721-1800
(718) 721-3004
Mailing address
2747 CRESCENT ST, 203, LONG ISLAND CITY, NY 11102-3142
(718) 721-1800
(718) 721-3004
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
109980
NY
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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