Provider Demographics
NPI:1437310661
Name:PRABHAKARAN, SAJINA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAJINA
Middle Name:
Last Name:PRABHAKARAN
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 1:2 CAPITAL WAY STE 550
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-2521
Mailing Address - Country:US
Mailing Address - Phone:609-303-4360
Mailing Address - Fax:609-303-4361
Practice Address - Street 1:2 CAPITAL WAY
Practice Address - Street 2:SUITE 550
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2521
Practice Address - Country:US
Practice Address - Phone:609-303-4360
Practice Address - Fax:609-303-4361
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444469207RR0500X
282N00000X
NJ25MA10044800207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No282N00000XHospitalsGeneral Acute Care Hospital