Provider Demographics
NPI:1780900761
Name:SHARMA, KARAM C (DM&SP)
Entity type:Individual
Prefix:
First Name:KARAM
Middle Name:C
Last Name:SHARMA
Suffix:
Gender:M
Credentials:DM&SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FOREST AVENUE
Mailing Address - Street 2:BUFFALO PSYCHIATRIC CENTER
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-1298
Mailing Address - Country:US
Mailing Address - Phone:716-816-2446
Mailing Address - Fax:716-816-2450
Practice Address - Street 1:166 SHERBURN DR
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-3834
Practice Address - Country:US
Practice Address - Phone:716-816-2446
Practice Address - Fax:716-816-2450
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005462103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist