Provider Demographics
NPI:1073932554
Name:SAHNI, KIREN P
Entity Type:Individual
Prefix:DR
First Name:KIREN
Middle Name:P
Last Name:SAHNI
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 1:842 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1503
Mailing Address - Country:US
Mailing Address - Phone:732-272-1456
Mailing Address - Fax:888-481-1478
Practice Address - Street 1:842 BROADWAY
Practice Address - Street 2:
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1503
Practice Address - Country:US
Practice Address - Phone:732-272-1456
Practice Address - Fax:888-481-1478
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10001400207RR0500X
FLOS14882207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty