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General NPI Number Information
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NPI Number | 1316871965
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Entity Type | Organization
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Legal Business Name | SHARGANI RHEUMATOLOGY PLLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 45 ORCHARD ST
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City | MANHASSET
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State | NY
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Zip | 11030-1928
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Country | US
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Telephone | 516-365-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 42 PLEASANT AVE
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-2202
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Country | US
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Telephone | 917-330-9694
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Fax | 516-802-9432
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Authorized Official
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Title or Position | OWNER
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Name | DR. KOUROSH SHARGANI
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Credential | DO
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Telephone | 917-330-9694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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