Provider Demographics
NPI:1508099722
Name:PAWA, SAKSHI (MD)
Entity Type:Individual
Prefix:
First Name:SAKSHI
Middle Name:
Last Name:PAWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2164
Mailing Address - Country:US
Mailing Address - Phone:732-349-8888
Mailing Address - Fax:732-349-8880
Practice Address - Street 1:1594 ROUTE 9 STE 6
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-3280
Practice Address - Country:US
Practice Address - Phone:732-349-8888
Practice Address - Fax:732-349-8880
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08632000208M00000X
NJMA08632000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist