1497484885 NPI number — PRITIKA SHARMA M.B.B.S.

Table of content: PRITIKA SHARMA M.B.B.S. (NPI 1497484885)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497484885 NPI number — PRITIKA SHARMA M.B.B.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHARMA
Provider First Name:
PRITIKA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.B.B.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497484885
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/06/2023
NPI Reactivation Date:
06/18/2024

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 WOODS ROAD WESTCHESTER MEDICAL CENTER,
Provider Second Line Business Mailing Address:
ATTN MR AUSTIN CHARNIS, TAYLOR PAVILION , ROOM C343
Provider Business Mailing Address City Name:
VALHALLA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10595
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-493-6613
Provider Business Mailing Address Fax Number:
914-493-7506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 WOODS ROAD WESTCHESTER MEDICAL CENTER,
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VALHALLA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10595
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-493-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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