Provider Demographics
NPI:1629288360
Name:SARAIYA, VINA (MD)
Entity Type:Individual
Prefix:
First Name:VINA
Middle Name:
Last Name:SARAIYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CRANE DR
Mailing Address - Street 2:
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:195 ROUTE 46 ATRIUM PROFFESSIONAL CENTER
Practice Address - Street 2:SUITE 202
Practice Address - City:MINE HILL
Practice Address - State:NJ
Practice Address - Zip Code:07803
Practice Address - Country:US
Practice Address - Phone:973-989-5185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03838500207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology