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NPI Code Detail

MEDICARE: DR. DIVAKER SHARMA MD

MEDICARE: DR. DIVAKER 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
1207R00000XInternal Medicine Physician328180NY

General Provider Information

NPI Number : 1528558319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIVAKER SHARMA MD
Provider Business Mailing Address
First Line : 6111 155TH ST
Second Line :
City : FLUSHING
State : NY
Zip : 11367-1234
Country : US
Telephone Number : 718-578-1821
Fax Number :
Provider Business Practice Location Address
First Line : 2614 HALPERIN AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-2631
Country : US
Telephone Number : 718-365-7877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2018
Last Update Date : 07/29/2024

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Directions to “ DR. DIVAKER SHARMA MD” Practice Location

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