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:
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Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922085976 NPPES
New York MEDICAID 00903984

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