Healthcare Provider Details

I. General information

NPI: 1356598197
Provider Name (Legal Business Name): SADHANA KUMAR, M.D, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 08/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 PARSIPPANY RD UNIT 3A
PARSIPPANY NJ
07054-5102
US

IV. Provider business mailing address

362 PARSIPPANY RD UNIT 3A
PARSIPPANY NJ
07054-5102
US

V. Phone/Fax

Practice location:
  • Phone: 973-515-0777
  • Fax: 973-515-8243
Mailing address:
  • Phone: 973-515-0777
  • Fax: 973-515-8243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA04310500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number25MA04310500
License Number StateNJ

VIII. Authorized Official

Name: DR. SADHANA KUMAR
Title or Position: CEO
Credential: M.D.
Phone: 973-515-0777