Provider Demographics
NPI:1952410458
Name:SEN HIGHTOWER, INDRANI (MD)
Entity Type:Individual
Prefix:DR
First Name:INDRANI
Middle Name:
Last Name:SEN HIGHTOWER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:INDRANI
Other - Middle Name:
Other - Last Name:SEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:739 SOUTH WHITE HORSE PIKE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106
Mailing Address - Country:US
Mailing Address - Phone:856-546-2300
Mailing Address - Fax:856-546-2301
Practice Address - Street 1:739 SOUTH WHITE HORSE PIKE
Practice Address - Street 2:SUITE 1
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106
Practice Address - Country:US
Practice Address - Phone:856-546-2300
Practice Address - Fax:856-546-2301
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA77347002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0042323Medicaid
NJ0042323Medicaid
NJI18608Medicare UPIN