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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAUTAM SHARMA

Active Sole Proprietor

GAUTAM SHARMA is a Family Medicine healthcare provider located in FRESH MEADOWS, New York. NPI 1760043970 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FRESH MEADOWS, NY

Registration Details

NPI Number
1760043970
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2019 (7.166252999223 yrs)
Last Updated
Oct 3, 2024
Licenses
OT019545 (PA)
317425 (NY)
Sole Proprietor
Yes

Practice Information

Address
7218 164TH ST
FRESH MEADOWS, NY, 113654222
Browse NY providers · Browse ZIP 11365
Phone
7189696640
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in FRESH MEADOWS, NY

Name Credential NPI
DR. CINDY CELESTE GRUBIN D.O. 1528035805
MERGIE DESIR M.D. , M. P. H. 1053360743
JOYCE GERTRUDE GHOLSON DO 1235373978
DR. AMINA K MERCHANT M.D. 1811128960
DANIEL AZOF MD 1578896650
MARK ABIAH STEPHEN D.O. 1275912495
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.