Individual
KOUROSH SHARGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
45 ORCHARD ST, MANHASSET, NY 11030-1928
(516) 365-1700
(516) 365-7565
Mailing address
45 ORCHARD ST, MANHASSET, NY 11030-1928
(516) 365-1700
(516) 365-7565
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
317427
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
08/07/2024
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