Provider Demographics
NPI:1518155365
Name:AMIT S KHAROD MD LLC
Entity Type:Organization
Organization Name:AMIT S KHAROD MD LLC
Other - Org Name:ADVANCED SURGICAL HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:KHAROD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-308-4202
Mailing Address - Street 1:901 W MAIN ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2537
Mailing Address - Country:US
Mailing Address - Phone:732-308-4202
Mailing Address - Fax:732-308-4212
Practice Address - Street 1:901 W MAIN ST
Practice Address - Street 2:SUITE 107
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2537
Practice Address - Country:US
Practice Address - Phone:732-308-4202
Practice Address - Fax:732-308-4212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
116589Medicare PIN