Provider Demographics
NPI:1700203841
Name:SARVA, SHEILA
Entity Type:Individual
Prefix:MISS
First Name:SHEILA
Middle Name:
Last Name:SARVA
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 1:109-17 72ND RD
Mailing Address - Street 2:SUITE 6R
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5336
Mailing Address - Country:US
Mailing Address - Phone:718-268-7347
Mailing Address - Fax:718-575-3375
Practice Address - Street 1:109-17 72ND RD
Practice Address - Street 2:SUITE 6R
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5336
Practice Address - Country:US
Practice Address - Phone:718-268-7347
Practice Address - Fax:718-575-3375
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment