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NPI Code Detail

MEDICARE: MANJULA SHARMA MD

MEDICARE: MANJULA SHARMA 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
12084P0800XPsychiatry Physician1292031NY

General Provider Information

NPI Number : 1922129626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANJULA SHARMA MD
Provider Business Mailing Address
First Line : 790 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4516
Country : US
Telephone Number : 631-427-3700
Fax Number : 631-427-0287
Provider Business Practice Location Address
First Line : 208 ROANOKE AVE
Second Line :
City : RIVERHEAD
State : NY
Zip : 11901-2706
Country : US
Telephone Number : 631-369-0104
Fax Number : 631-369-5433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 08/25/2015

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Directions to “ MANJULA SHARMA MD” Practice Location

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