Provider Demographics
NPI:1558504373
Name:VANAJA ASSOCIATES, M.D., P.A
Entity Type:Organization
Organization Name:VANAJA ASSOCIATES, M.D., P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VANAJAKSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATURU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-952-3377
Mailing Address - Street 1:7416 CARISSA CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6445
Mailing Address - Country:US
Mailing Address - Phone:201-952-3377
Mailing Address - Fax:
Practice Address - Street 1:7416 CARISSA CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6445
Practice Address - Country:US
Practice Address - Phone:201-952-3377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM82432084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8787808Medicaid
NJ8787808Medicaid
NJH28095Medicare UPIN