Provider Demographics
NPI:1346313376
Name:PALKHIWALA, BHARATI AOUN (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARATI
Middle Name:AOUN
Last Name:PALKHIWALA
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 1:748 FILLMORE COURT
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652
Mailing Address - Country:US
Mailing Address - Phone:201-445-0981
Mailing Address - Fax:201-670-4294
Practice Address - Street 1:748 FILLMORE COURT
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-445-0981
Practice Address - Fax:201-670-4294
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA34533002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry