MEDICARE: DR. KAVITA SHARMA MD PLLC

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	208VP0014X	Interventional Pain Medicine Physician	250053	NY

General Provider Information

NPI Number	:	1841323714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAVITA SHARMA MD PLLC

Provider Business Mailing Address
First Line	:	36 W 44TH ST
Second Line	:	STE 401
City	:	NEW YORK
State	:	NY
Zip	:	10036-8107
Country	:	US
Telephone Number	:	212-398-2300
Fax Number	:	718-966-6869

Provider Business Practice Location Address
First Line	:	36 W 44TH ST
Second Line	:	STE 401
City	:	NEW YORK
State	:	NY
Zip	:	10036-8102
Country	:	US
Telephone Number	:	212-398-2300
Fax Number	:	212-398-8356

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	05/17/2016

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