Individual
RAKESH KUMAR SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 HAWKINS AVE, RONKONKOMA, NY 11779-4243
(631) 588-8393
(631) 588-2312
Mailing address
49 CABRIOLET LN, MELVILLE, NY 11747-1921
(631) 367-1338
(631) 588-8231
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
161670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011-10154
—
NY
Enumeration date
10/31/2006
Last updated
12/19/2016
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