Provider Demographics
NPI:1508083809
Name:BHARATI PALKHIWALA
Entity Type:Organization
Organization Name:BHARATI PALKHIWALA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BHARATI
Authorized Official - Middle Name:A
Authorized Official - Last Name:PALKHIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-445-0981
Mailing Address - Street 1:748 FILLMORE CT
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1703
Mailing Address - Country:US
Mailing Address - Phone:201-445-0981
Mailing Address - Fax:
Practice Address - Street 1:748 FILLMORE CT
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1703
Practice Address - Country:US
Practice Address - Phone:201-445-0981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3637701Medicaid
NJ3637701Medicaid