Provider Demographics
NPI:1578759338
Name:SHARMA, DEEP (MD)
Entity Type:Individual
Prefix:
First Name:DEEP
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3411 WAYNE AVE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2509
Mailing Address - Country:US
Mailing Address - Phone:866-633-8255
Mailing Address - Fax:718-652-8384
Practice Address - Street 1:3411 WAYNE AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2509
Practice Address - Country:US
Practice Address - Phone:866-633-8255
Practice Address - Fax:718-652-8384
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2016-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY266341207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology