Provider Demographics
NPI:1720649841
Name:SAHNI, NEEL
Entity Type:Individual
Prefix:
First Name:NEEL
Middle Name:
Last Name:SAHNI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:781 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4921
Mailing Address - Country:US
Mailing Address - Phone:732-784-8408
Mailing Address - Fax:
Practice Address - Street 1:1919 STATE ROUTE 35 STE 100
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-3508
Practice Address - Country:US
Practice Address - Phone:732-449-1352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO5806207R00000X
NJ25MB11064800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine