Provider Demographics
NPI:1871063172
Name:KHARGI, SHIROMANIE SHARLA (PHD)
Entity type:Individual
Prefix:DR
First Name:SHIROMANIE
Middle Name:SHARLA
Last Name:KHARGI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2030
Mailing Address - Country:US
Mailing Address - Phone:516-328-8476
Mailing Address - Fax:
Practice Address - Street 1:110 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2030
Practice Address - Country:US
Practice Address - Phone:516-328-8476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist