MEDICARE: DR. RAVI NARAIN SHARAF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	238983	NY

General Provider Information

NPI Number	:	1548365760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAVI NARAIN SHARAF MD

Provider Business Mailing Address
First Line	:	1315 YORK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-5304
Country	:	US
Telephone Number	:	212-746-4014
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 YORK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-5304
Country	:	US
Telephone Number	:	212-746-4014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	10/27/2021

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