Healthcare Provider Details

I. General information

NPI: 1346313376
Provider Name (Legal Business Name): BHARATI AOUN PALKHIWALA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 02/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

748 FILLMORE COURT
PARAMUS NJ
07652
US

IV. Provider business mailing address

748 FILLMORE COURT
PARAMUS NJ
07652
US

V. Phone/Fax

Practice location:
  • Phone: 201-445-0981
  • Fax: 201-670-4294
Mailing address:
  • Phone: 201-445-0981
  • Fax: 201-670-4294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA3453300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: