Individual
RAKESH SHREEDHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 LIBERTY SQUARE, STONY POINT, NY 10980
(845) 942-0228
(845) 942-1519
Mailing address
20 GRAND ST FL 3, CREDENTIALING MANAGER, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
169924
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01143228
—
NY
Enumeration date
03/30/2006
Last updated
09/30/2015
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