Provider Demographics
NPI:1831199496
Name:SAHNI, SUSHMA (MD)
Entity type:Individual
Prefix:DR
First Name:SUSHMA
Middle Name:
Last Name:SAHNI
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 1:498 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPOTSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08884-1702
Mailing Address - Country:US
Mailing Address - Phone:732-251-6900
Mailing Address - Fax:732-251-5935
Practice Address - Street 1:498 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPOTSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08884-1702
Practice Address - Country:US
Practice Address - Phone:732-251-6900
Practice Address - Fax:732-251-5935
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03871000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4512600Medicaid
NJ4512600Medicaid
402316Medicare ID - Type Unspecified