Provider Demographics
NPI:1134840838
Name:PERSAUD, PADMINI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PADMINI
Middle Name:
Last Name:PERSAUD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:MINE HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07803-3148
Mailing Address - Country:US
Mailing Address - Phone:718-286-9819
Mailing Address - Fax:
Practice Address - Street 1:1236 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2159
Practice Address - Country:US
Practice Address - Phone:973-917-3850
Practice Address - Fax:973-917-3253
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03934200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist