Provider Demographics
NPI:1952629974
Name:PARDO-REOYO, SHERLY (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERLY
Middle Name:
Last Name:PARDO-REOYO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHERLY
Other - Middle Name:
Other - Last Name:PARDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:UAB HAZELRIG SALTER RADIATION CTR
Mailing Address - Street 2:176F RM 2232M 619 19TH ST S
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-0001
Mailing Address - Country:US
Mailing Address - Phone:212-241-3313
Mailing Address - Fax:347-275-8364
Practice Address - Street 1:ONE GUSTAVE L LEVY PLACE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-3313
Practice Address - Fax:347-275-8364
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17303207SC0300X
NY235310207SG0201X
AL351642085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Cytogenetics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)