Provider Demographics
NPI:1093905804
Name:PAWAR, NEHA S (MD)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:S
Last Name:PAWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEHA
Other - Middle Name:SUDHEER
Other - Last Name:SAWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:45 RESEARCH WAY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-6401
Mailing Address - Country:US
Mailing Address - Phone:631-675-2125
Mailing Address - Fax:631-675-2624
Practice Address - Street 1:5036 JERICHO TPKE
Practice Address - Street 2:SUITE 207
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-2812
Practice Address - Country:US
Practice Address - Phone:631-486-8372
Practice Address - Fax:631-486-8374
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245361207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine