Provider Demographics
NPI:1801958640
Name:KAMAKSHI, SAVITHRI (MD)
Entity type:Individual
Prefix:
First Name:SAVITHRI
Middle Name:
Last Name:KAMAKSHI
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 1:127 PATRIOTS RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-3117
Mailing Address - Country:US
Mailing Address - Phone:973-538-2119
Mailing Address - Fax:
Practice Address - Street 1:GREYSTONE PARK PSYCHIATRIC HOSPITAL
Practice Address - Street 2:1 CENTRAL AVENUE
Practice Address - City:GREYSTONE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07950
Practice Address - Country:US
Practice Address - Phone:973-538-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA064449002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG84055Medicare UPIN
NJKA022007Medicare ID - Type Unspecified