Provider Demographics
NPI:1740322536
Name:MAKHIJA, VASUDEV NARAINDAS (MD)
Entity type:Individual
Prefix:DR
First Name:VASUDEV
Middle Name:NARAINDAS
Last Name:MAKHIJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:812 N WOOD AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4058
Mailing Address - Country:US
Mailing Address - Phone:908-486-6666
Mailing Address - Fax:908-486-6088
Practice Address - Street 1:812 N WOOD AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4058
Practice Address - Country:US
Practice Address - Phone:908-486-6666
Practice Address - Fax:908-486-6088
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA338412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2113503Medicaid
NJ2113503Medicaid
NJC55820Medicare UPIN