Provider Demographics
NPI:1376331512
Name:KANNAN, NIVEDITHA (PHARMD)
Entity type:Individual
Prefix:
First Name:NIVEDITHA
Middle Name:
Last Name:KANNAN
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 1:2202 TAGGERT DR
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-6437
Mailing Address - Country:US
Mailing Address - Phone:609-455-0868
Mailing Address - Fax:
Practice Address - Street 1:2311 US HIGHWAY 206 STE 600
Practice Address - Street 2:
Practice Address - City:BELLE MEAD
Practice Address - State:NJ
Practice Address - Zip Code:08502-4036
Practice Address - Country:US
Practice Address - Phone:908-428-2053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program