MEDICARE: RESHAM KISHORE HEMLANI

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	122300000X	Dentist	064174-01	NY
2	122300000X	Dentist	42098	TX

General Provider Information

NPI Number	:	1982394177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RESHAM KISHORE HEMLANI

Provider Business Mailing Address
First Line	:	247 E 28TH ST APT 2E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-8580
Country	:	US
Telephone Number	:	929-316-7528
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 GUSTAVE L. LEVY PLACE
Second Line	:	ICAHN SCHOOL OF MEDICINE AT THE MOUNT SINAI HOSPITAL
City	:	NEW YORK
State	:	NY
Zip	:	10029-6500
Country	:	US
Telephone Number	:	212-241-0300
Fax Number	:

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

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	04/07/2026

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