Provider Demographics
NPI:1295041705
Name:SHARMA, MALA (MD)
Entity Type:Individual
Prefix:DR
First Name:MALA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:19 BRADHURST AVE
Mailing Address - Street 2:SUITE 3850S
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2140
Mailing Address - Country:US
Mailing Address - Phone:914-909-6900
Mailing Address - Fax:914-493-2828
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-909-6900
Practice Address - Fax:914-493-2828
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2021-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY279649207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease