Skmehandrumdpa

LBN: Sushil K Mehandru Md Pa
Skmehandrumdpa is an health care organization with primary practice located at 1925 Hwy 35 , Wall Township NJ 07719-3512. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Sushil K Mehandru Md Pa can be contacted via phone (732) 974-0100, or through Mehandru, Sushil K via phone (732) 974-0100.

Contact Information

Primary practice address
1925 Hwy 35 Wall Township NJ 07719-3512
Phone: (732) 974-0100
Fax: (732) 974-0137
Website:
Map and Directions
Authorized official contact:
Name: Mehandru, Sushil K Doctor of Medicine (MD)
Phone: (732) 974-0100

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MA034596 New Jersey

Profile Details

NPI number 1316132467
LBN Legal business name Sushil K Mehandru Md Pa
DBA Doing business as Skmehandrumdpa
Authorized official Mehandru, Sushil K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 22nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316132467 NPPES
New Jersey MEDICAID 2634201

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