Provider Demographics
NPI:1356393458
Name:LAHIRI, DEVRAJ (MD)
Entity type:Individual
Prefix:DR
First Name:DEVRAJ
Middle Name:
Last Name:LAHIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:97 CEDAR GROVE LN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4413
Mailing Address - Country:US
Mailing Address - Phone:732-356-7600
Mailing Address - Fax:732-356-7625
Practice Address - Street 1:97 CEDAR GROVE LN
Practice Address - Street 2:SUITE 203
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4413
Practice Address - Country:US
Practice Address - Phone:732-356-7600
Practice Address - Fax:732-356-7625
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07008900207R00000X, 207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ562452075OtherTAX ID NUMBER
NJH34611Medicare UPIN
NJ081496Medicare PIN