Provider Demographics
NPI:1871334508
Name:SHARMA, KARAN VIJAYKUMAR
Entity type:Individual
Prefix:
First Name:KARAN
Middle Name:VIJAYKUMAR
Last Name:SHARMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GOOD SAMARITAN UNIVERSITY HOSPITAL, ST. JOSEPH HOPSITAL
Mailing Address - Street 2:1000 MONTAUK HIGHWAY
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795
Mailing Address - Country:US
Mailing Address - Phone:631-376-4163
Mailing Address - Fax:631-376-3420
Practice Address - Street 1:ST. JOSEPH HOSPITAL
Practice Address - Street 2:4295 HEMPSTEAD TPKE
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714
Practice Address - Country:US
Practice Address - Phone:516-520-2538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program