Individual
DR. SHARADA JAYAGOPAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 HILLSIDE AVE, SUITE 301, NEW HYDE PARK, NY 11040-2501
(516) 354-4200
(516) 358-2825
Mailing address
1575 HILLSIDE AVE, SUITE 301, NEW HYDE PARK, NY 11040-2501
(516) 354-4200
(516) 358-2825
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
151424
NY
2085R0202X
Diagnostic Radiology Physician
151424
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00903984
—
NY
Enumeration date
12/29/2005
Last updated
09/11/2025
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