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NPI Code Detail

MEDICARE: SHARANG TICKOO

MEDICARE: SHARANG TICKOO
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 Physician341074-01NY

General Provider Information

NPI Number : 1932840477
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARANG TICKOO
Provider Business Mailing Address
First Line : 57 WILLOUGHBY ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5257
Country : US
Telephone Number : 718-408-6522
Fax Number :
Provider Business Practice Location Address
First Line : 57 WILLOUGHBY ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5257
Country : US
Telephone Number : 718-408-6522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 06/04/2026

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Directions to “ SHARANG TICKOO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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