Provider Demographics
NPI:1619464112
Name:SHARMA, ROBIN JAGDISH (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:JAGDISH
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 HEMPSTEAD TPK
Mailing Address - Street 2:NUHEALTH-NASSAU UNIVERSITY MEDICAL CENTER
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1859
Mailing Address - Country:US
Mailing Address - Phone:516-572-6501
Mailing Address - Fax:516-572-5609
Practice Address - Street 1:2201 HEMPSTEAD TPK
Practice Address - Street 2:NUHEALTH-NASSAU UNIVERSITY MEDICAL CENTER
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1859
Practice Address - Country:US
Practice Address - Phone:516-572-6501
Practice Address - Fax:516-572-5609
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2018-12-10
Deactivation Date:2018-11-28
Deactivation Code:
Reactivation Date:2018-12-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program