Provider Demographics
NPI:1699181206
Name:BAXI, NAMRATA (MD)
Entity Type:Individual
Prefix:
First Name:NAMRATA
Middle Name:
Last Name:BAXI
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 1:108 WATCHUNG AVE UNIT 234
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1251
Mailing Address - Country:US
Mailing Address - Phone:908-308-2201
Mailing Address - Fax:
Practice Address - Street 1:2177 OAK TREE RD STE 204
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1082
Practice Address - Country:US
Practice Address - Phone:908-769-4735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD474253207RN0300X
NJ25MA09674800207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology