Provider Demographics
NPI:1225064769
Name:FLOWERS, SAKHSHAT WILLIAM III (MD)
Entity Type:Individual
Prefix:DR
First Name:SAKHSHAT
Middle Name:WILLIAM
Last Name:FLOWERS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:KNOX
Other - Last Name:FLOWERS
Other - Suffix:III
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2 PLYMOUTH PL
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2322
Mailing Address - Country:US
Mailing Address - Phone:973-378-8322
Mailing Address - Fax:
Practice Address - Street 1:2 PLYMOUTH PL
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2322
Practice Address - Country:US
Practice Address - Phone:973-378-8322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03619900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA03619900OtherNEW JERSEY STATE LICENSE