Provider Demographics
NPI:1821762451
Name:PERSAD, SANGEETA ANJALI (MD)
Entity Type:Individual
Prefix:
First Name:SANGEETA
Middle Name:ANJALI
Last Name:PERSAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SANGEETA
Other - Middle Name:ANJALI
Other - Last Name:PERSAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PRIME HEALTH CARE CONSORTIUM AT ST MARY'S AND ST CLARE
Mailing Address - Street 2:25 POCONO RD
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2954
Mailing Address - Country:US
Mailing Address - Phone:868-779-0402
Mailing Address - Fax:
Practice Address - Street 1:PRIME HEALTH CARE CONSORTIUM AT ST MARY'S AND ST CLARE
Practice Address - Street 2:25 POCONO RD
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2954
Practice Address - Country:US
Practice Address - Phone:868-779-0402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-06
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program