Provider Demographics
NPI:1265636526
Name:SAHNI, RAKESH (MD)
Entity Type:Individual
Prefix:
First Name:RAKESH
Middle Name:
Last Name:SAHNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 WESTFIELD AVE # 59
Mailing Address - Street 2:2ND FL
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-3262
Mailing Address - Country:US
Mailing Address - Phone:732-396-9500
Mailing Address - Fax:732-382-1377
Practice Address - Street 1:53 WESTFIELD AVE # 59
Practice Address - Street 2:2ND FL
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-3262
Practice Address - Country:US
Practice Address - Phone:732-396-9500
Practice Address - Fax:732-382-1377
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA36202207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1189107Medicaid
NJD18645Medicare UPIN
NJ165700Medicare ID - Type Unspecified