Provider Demographics
NPI:1356598197
Name:SADHANA KUMAR, M.D, L.L.C.
Entity type:Organization
Organization Name:SADHANA KUMAR, M.D, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SADHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-515-0777
Mailing Address - Street 1:362 PARSIPPANY RD
Mailing Address - Street 2:UNIT 3A
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-5102
Mailing Address - Country:US
Mailing Address - Phone:973-515-0777
Mailing Address - Fax:973-515-8243
Practice Address - Street 1:362 PARSIPPANY RD
Practice Address - Street 2:UNIT 3A
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-5102
Practice Address - Country:US
Practice Address - Phone:973-515-0777
Practice Address - Fax:973-515-8243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04310500207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1757601Medicaid
NJ1757601Medicaid
NJD19333Medicare UPIN