Provider Demographics
NPI:1225065634
Name:KUMAR, SADHANA (MD)
Entity Type:Individual
Prefix:DR
First Name:SADHANA
Middle Name:
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 WHITEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-3328
Mailing Address - Country:US
Mailing Address - Phone:973-515-0777
Mailing Address - Fax:973-515-8243
Practice Address - Street 1:362 PARSIPPANY RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-5102
Practice Address - Country:US
Practice Address - Phone:973-515-0777
Practice Address - Fax:973-515-8243
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04310500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1757601Medicaid
NJ1757601Medicaid
NJ541458Medicare ID - Type Unspecified