Provider Demographics
NPI:1750844262
Name:SARMA, HURSH (MD)
Entity Type:Individual
Prefix:
First Name:HURSH
Middle Name:
Last Name:SARMA
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 1:56-45 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-670-1286
Mailing Address - Fax:602-406-3540
Practice Address - Street 1:56-45 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-670-1286
Practice Address - Fax:602-406-3540
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2022-07-18
Deactivation Date:2019-11-12
Deactivation Code:
Reactivation Date:2019-12-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program