Provider Demographics
NPI:1376866871
Name:CHHUGANI, SHARMILA J
Entity Type:Individual
Prefix:MRS
First Name:SHARMILA
Middle Name:J
Last Name:CHHUGANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 GRAND CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-5520
Mailing Address - Country:US
Mailing Address - Phone:718-299-2200
Mailing Address - Fax:718-299-6900
Practice Address - Street 1:1850 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-5520
Practice Address - Country:US
Practice Address - Phone:718-299-2200
Practice Address - Fax:718-299-6900
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist