Provider Demographics
NPI:1578558748
Name:SARVAIYA, RAMESH M (MD ANESTHESIOLOGIS)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:M
Last Name:SARVAIYA
Suffix:
Gender:M
Credentials:MD ANESTHESIOLOGIS
Other - Prefix:
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Mailing Address - Street 1:509 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-1617
Mailing Address - Country:US
Mailing Address - Phone:856-845-0100
Mailing Address - Fax:856-848-7023
Practice Address - Street 1:17 W RED BANK AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1630
Practice Address - Country:US
Practice Address - Phone:856-848-4464
Practice Address - Fax:856-848-7023
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA07343200OtherMEDICAL LICENSE
NJ0026701Medicaid
NJD08111300OtherCDS
NJBS7597860OtherDEA
NJ25MA07343200OtherMEDICAL LICENSE
NJ0026701Medicaid