Provider Demographics
NPI:1417578741
Name:YADAV, SHARAN (MD)
Entity Type:Individual
Prefix:
First Name:SHARAN
Middle Name:
Last Name:YADAV
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 1:505 EAST 70TH ST
Mailing Address - Street 2:HELMSLEY TOWER FOURTH FLOOR- SHARAN YADAV
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-746-2900
Mailing Address - Fax:212-746-4609
Practice Address - Street 1:505 EAST 70TH ST
Practice Address - Street 2:HELMSLEY TOWER 4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-2900
Practice Address - Fax:212-746-4609
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2022-02-02
Deactivation Date:2022-01-10
Deactivation Code:
Reactivation Date:2022-02-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program