Provider Demographics
NPI:1497763379
Name:KARANDIKAR, RAJASHREE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:RAJASHREE
Middle Name:
Last Name:KARANDIKAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MOORES GROVE CT
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2251
Mailing Address - Country:US
Mailing Address - Phone:609-903-5519
Mailing Address - Fax:
Practice Address - Street 1:7 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08835-1846
Practice Address - Country:US
Practice Address - Phone:908-722-6500
Practice Address - Fax:908-722-7206
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ194701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD06968400OtherCDS
NJ0142417Medicaid
NJ0142417Medicaid