Sukhavasi, Sujatha
Sukhavasi, Sujatha is an individual health care provider with primary practice located at 350 Boulevard , Passaic NJ 07055-2840. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Sukhavasi, Sujatha can be contacted via phone (973) 365-4300.Contact Information
Primary practice address
350 Boulevard
Passaic NJ 07055-2840
Phone: (973) 365-4300
Fax: (845) 357-5777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA08046800 | New Jersey |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 238812 | New York |
Profile Details
| NPI number | 1164605663 |
|---|---|
| LBN Legal business name | Sukhavasi, Sujatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2007 |
| Last updated | Jun 18th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164605663 | NPPES |
| New Jersey | MEDICAID | 0149594 | |
| New Jersey | MEDICAID | 03357320 |
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