Provider Demographics
NPI:1508928250
Name:SAWHNEY, OM PARKASH (MD,)
Entity Type:Individual
Prefix:DR
First Name:OM
Middle Name:PARKASH
Last Name:SAWHNEY
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MORAINE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3662
Mailing Address - Country:US
Mailing Address - Phone:732-548-7779
Mailing Address - Fax:732-548-7724
Practice Address - Street 1:12 MORAINE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3662
Practice Address - Country:US
Practice Address - Phone:732-548-7779
Practice Address - Fax:732-548-7724
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02622600208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC604488Medicare UPIN
NJ128285BHGMedicare ID - Type Unspecified