Provider Demographics
NPI:1134113079
Name:SHARDA, VARSHA P (MD)
Entity Type:Individual
Prefix:
First Name:VARSHA
Middle Name:P
Last Name:SHARDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-2111
Mailing Address - Country:US
Mailing Address - Phone:607-324-0061
Mailing Address - Fax:607-324-7547
Practice Address - Street 1:21 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-2111
Practice Address - Country:US
Practice Address - Phone:607-324-0061
Practice Address - Fax:607-324-7547
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203720207RH0000X
NY203720-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01732576Medicaid
G51103Medicare UPIN