Provider Demographics
NPI:1083757744
Name:NEJAD, KARAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:KARAN
Middle Name:S
Last Name:NEJAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 PROSPECT AVE
Mailing Address - Street 2:SUITE 809
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1997
Mailing Address - Country:US
Mailing Address - Phone:201-457-3366
Mailing Address - Fax:201-457-9050
Practice Address - Street 1:20 PROSPECT AVE
Practice Address - Street 2:SUITE 809
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1997
Practice Address - Country:US
Practice Address - Phone:201-457-3366
Practice Address - Fax:201-457-9050
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA063567207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ764453Medicare PIN
NJF77559Medicare UPIN