Provider Demographics
NPI:1710958137
Name:KAHLAM, SARWAN SINGH (MD)
Entity Type:Individual
Prefix:
First Name:SARWAN
Middle Name:SINGH
Last Name:KAHLAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2623
Mailing Address - Country:US
Mailing Address - Phone:908-852-8588
Mailing Address - Fax:908-852-1621
Practice Address - Street 1:37 ROUTE 46
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2623
Practice Address - Country:US
Practice Address - Phone:908-852-8588
Practice Address - Fax:908-852-1621
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05105700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJKA599883Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NJE38817Medicare UPIN