Provider Demographics
NPI:1669122032
Name:PADALA, NIHARIKA (MD)
Entity type:Individual
Prefix:
First Name:NIHARIKA
Middle Name:
Last Name:PADALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 MADALINE DR
Mailing Address - Street 2:
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-1381
Mailing Address - Country:US
Mailing Address - Phone:848-219-9406
Mailing Address - Fax:
Practice Address - Street 1:401 BROADWAY
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1211
Practice Address - Country:US
Practice Address - Phone:848-219-9406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program