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General NPI Number Information
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NPI Number | 1013526516
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Entity Type | Individual
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Provider Name | SAIKUMAR GANDAPODI LAC
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Gender | Male
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 5001 HADLEY RD STE 210
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-1128
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Country | US
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Telephone | 732-503-9999
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Fax | 732-333-6473
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Provider Business Mailing Address
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Address Line | 765 NEW DOVER RD
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City | EDISON
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State | NJ
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Zip | 08820-1956
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Country | US
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Telephone | 732-503-9900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 006800
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License Number State | NY
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