Individual
DR. SHARMINI JAYAMAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
632 ROANOKE AVENUE, EAST END NEPHROLOGY, P.C., RIVERHEAD, NY 11901
(631) 208-8270
(631) 208-8271
Mailing address
222 MANOR PL, SUITE 102, GREENPORT, NY 11944-1261
(631) 477-1755
(631) 477-1754
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
212805
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02360956
—
NY
Enumeration date
06/18/2006
Last updated
11/13/2012
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