Individual
DR. NINU SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
163 VAN BUREN ROAD, CARY MEDICAL CENTER, CARIBOU, ME 04736-3588
(207) 498-3111
Mailing address
213 RIVERVIEW DR, POUGHKEEPSIE, NY 12601-3937
(631) 922-5496
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
018767
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002290001
MEDICARE PTAN
—
Enumeration date
07/01/2011
Last updated
10/19/2020
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