Individual
GAURAV SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-4193
(585) 922-4769
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4193
(585) 922-4769
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
286955
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113808
SID# 113808
CA
Enumeration date
02/01/2012
Last updated
08/19/2019
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