| Rakesh Sharma Physician Pc | |
|
122 Portion Rd Suite 104 Lake Ronkonkoma NY 11779-4174 | |
| (631) 588-8393 | |
| (631) 588-2312 |
| Full Name | Rakesh Sharma Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 122 Portion Rd, Lake Ronkonkoma, New York |
| Authorized Official Name and Position | Rakesh Sharma (PHYSICIAN) |
| Authorized Official Contact | 6315888393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rakesh Sharma Physician Pc 122 Portion Rd Suite 104 Lake Ronkonkoma NY 11779-4174 Ph: (631) 588-8393 | Rakesh Sharma Physician Pc 122 Portion Rd Suite 104 Lake Ronkonkoma NY 11779-4174 Ph: (631) 588-8393 |
| NPI Number | 1831462464 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 02/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831462464 | NPI | - | NPPES |
| 01110154 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 161670 (New York) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 161670 (New York) | Secondary |
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