Provider Demographics
NPI:1952528432
Name:KEWALRAMANI, KAVITA RAJIV (MD)
Entity Type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:RAJIV
Last Name:KEWALRAMANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:571 CENTRAL AVENUE
Mailing Address - Street 2:STE 104
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-1547
Mailing Address - Country:US
Mailing Address - Phone:908-206-4676
Mailing Address - Fax:908-206-4707
Practice Address - Street 1:571 CENTRAL AVE STE 104
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-1547
Practice Address - Country:US
Practice Address - Phone:908-206-4676
Practice Address - Fax:908-206-4707
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO6681000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine