Provider Demographics
NPI:1528233418
Name:ATREJA, SURABHI MADHWAL (MD)
Entity Type:Individual
Prefix:DR
First Name:SURABHI
Middle Name:MADHWAL
Last Name:ATREJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SURABHI
Other - Middle Name:MADHWAL
Other - Last Name:ATREJA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:246 HAMBURG TPKE STE 201
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2159
Mailing Address - Country:US
Mailing Address - Phone:973-942-1141
Mailing Address - Fax:973-942-1250
Practice Address - Street 1:CARDIOVASCULAR DIVISION, J ELLISON AMBULATORY CARE CENT
Practice Address - Street 2:4860 Y STREET
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-8425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264335207RC0000X
NJ25MA09528200207RC0000X, 207RI0011X
NYA073391207RC0000X
CAC172091207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease