Provider Demographics
NPI:1023513579
Name:PALORATH, AISHWARYA (MD)
Entity type:Individual
Prefix:DR
First Name:AISHWARYA
Middle Name:
Last Name:PALORATH
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 1:6303 VENTNOR AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-2274
Mailing Address - Country:US
Mailing Address - Phone:609-703-6165
Mailing Address - Fax:
Practice Address - Street 1:1210 S CEDAR CREST BLVD STE 2400
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6235
Practice Address - Country:US
Practice Address - Phone:610-402-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD4869712080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program