MEDICARE: DR. VANSHDEEP SHARMA M.D.

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	2084P0804X	Child & Adolescent Psychiatry Physician	172637	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669428025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VANSHDEEP SHARMA M.D.

Provider Business Mailing Address
First Line	:	1249 PARK AVE
Second Line	:	APT 16A
City	:	NEW YORK
State	:	NY
Zip	:	10029-7219
Country	:	US
Telephone Number	:	212-659-8773
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 MADISON AVE
Second Line	:	ROOM 4-12
City	:	NEW YORK
State	:	NY
Zip	:	10029-6514
Country	:	US
Telephone Number	:	212-659-8773
Fax Number	:

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	07/08/2007

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