Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 118447 | NY |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 118447 | NY |
NPI | 1124137658 |
---|---|
Provider Name | Dr. Shashi Sharma |
First Address | Rochester, NY 14626-4605 |
Second Address | Rochester, NY 14626-4605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 04/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000502085001 | BLUE SHIELD OF WESTERN NY (01) | NY |
00453076 | (05) | NY |
100672CO | PREFERRED CARE (01) | NY |
5543138 | AETNA (01) | NY |
P010118447 | BLUE CHOICE (01) | NY |