Provider Demographics
NPI:1275500969
Name:PALEKAR, SADANAND SUDHAKAR (MD)
Entity Type:Individual
Prefix:
First Name:SADANAND
Middle Name:SUDHAKAR
Last Name:PALEKAR
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 1:111 NORTHFIELD AVENUE
Mailing Address - Street 2:SUITE 311
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4703
Mailing Address - Country:US
Mailing Address - Phone:973-325-2103
Mailing Address - Fax:973-325-2254
Practice Address - Street 1:111 NORTHFIELD AVENUE
Practice Address - Street 2:SUITE 311
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-4703
Practice Address - Country:US
Practice Address - Phone:973-325-2103
Practice Address - Fax:973-325-2254
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05092700207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2488205Medicaid
NJ2488205Medicaid
E62067Medicare UPIN