Provider Demographics
NPI:1689630972
Name:SHARMA, NIRAJ (MD)
Entity Type:Individual
Prefix:
First Name:NIRAJ
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-0512
Mailing Address - Country:US
Mailing Address - Phone:845-297-2225
Mailing Address - Fax:845-297-2224
Practice Address - Street 1:1323 ROUTE 9
Practice Address - Street 2:SUITE 206
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4904
Practice Address - Country:US
Practice Address - Phone:845-297-2225
Practice Address - Fax:845-297-2224
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY243413208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine