Healthcare Provider Details
I. General information
NPI: 1346279494
Provider Name (Legal Business Name): SUKHDEV AMARNANI M D
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
64 S MAIN ST
MANVILLE NJ
08835-1864
US
IV. Provider business mailing address
7 REGENTS CT
BELLE MEAD NJ
08502-5845
US
V. Phone/Fax
- Phone: 908-685-8000
- Fax: 908-685-8000
- Phone: 908-359-0921
- Fax: 908-685-9988
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0000X |
| Taxonomy | Adolescent Medicine (Family Medicine) Physician |
| License Number | 25MA070959 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080A0000X |
| Taxonomy | Pediatric Adolescent Medicine Physician |
| License Number | 25MA070959 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | 25MA070959 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: