Jayagopal, Sharada
Jayagopal, Sharada is an individual health care provider with primary practice located at 1575 Hillside Ave Suite 301, New Hyde Park NY 11040-2501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is her primary health care specialty. Jayagopal, Sharada can be contacted via phone (516) 354-4200.Contact Information
Primary practice address
1575 Hillside Ave Suite 301
New Hyde Park NY 11040-2501
Phone: (516) 354-4200
Fax: (516) 358-2825
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 151424 | New York |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 151424 | New York |
Profile Details
NPI number | 1922085976 |
---|---|
LBN Legal business name | Jayagopal, Sharada |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922085976 | NPPES |
New York | MEDICAID | 00903984 |
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