Provider Demographics
NPI:1699002022
Name:V.K. PERKARI M.D. LLC
Entity Type:Organization
Organization Name:V.K. PERKARI M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VASANTHA
Authorized Official - Middle Name:K
Authorized Official - Last Name:PERKARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-203-9680
Mailing Address - Street 1:428 LLOYD ROAD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1552
Mailing Address - Country:US
Mailing Address - Phone:732-203-9680
Mailing Address - Fax:732-203-9684
Practice Address - Street 1:428 LLOYD RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1552
Practice Address - Country:US
Practice Address - Phone:732-203-9680
Practice Address - Fax:732-203-9684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE23851Medicare UPIN