Provider Demographics
NPI:1982639407
Name:HEMCARE MEDICAL CLINIC, PC
Entity Type:Organization
Organization Name:HEMCARE MEDICAL CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARTIKEY
Authorized Official - Middle Name:JAYENDRAKUMAR
Authorized Official - Last Name:NANAVATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-448-4600
Mailing Address - Street 1:PO BOX 7368
Mailing Address - Street 2:6, AGNES COURT
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-7368
Mailing Address - Country:US
Mailing Address - Phone:609-448-4600
Mailing Address - Fax:609-448-4660
Practice Address - Street 1:6 AGNES CT
Practice Address - Street 2:
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-2300
Practice Address - Country:US
Practice Address - Phone:609-448-4600
Practice Address - Fax:609-448-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty