Provider Demographics
NPI:1942287495
Name:REGULAPATI, SARITHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SARITHA
Middle Name:
Last Name:REGULAPATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARITHA
Other - Middle Name:
Other - Last Name:POLUSARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:462 NEW RD
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2653
Mailing Address - Country:US
Mailing Address - Phone:732-274-2557
Mailing Address - Fax:732-274-6777
Practice Address - Street 1:462 NEW RD
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-2653
Practice Address - Country:US
Practice Address - Phone:732-274-2557
Practice Address - Fax:732-274-6777
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07959900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ148670Medicare UPIN
NJ097699YSCMedicare PIN