Organization
MAHENDRA SHARMA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHENDRA SHARMA M.D. (OWNER)
(516) 625-1014
Entity
Organization
Contact information
Practice address
15 KNOLLS DRIVE, NEW HYDE PARK, NY 11040-1110
(516) 625-1014
(516) 414-4012
Mailing address
112 MADISON AVE, GARDEN CITY PARK, NY 11040-5229
(516) 625-1014
(516) 414-4012
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1988231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129091
—
NY
Enumeration date
06/12/2009
Last updated
06/12/2009
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