=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487620456
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | USHARANI NATARAJAN M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2006
-----------------------------------------------------
Last Update Date | 09/05/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25 LINDSLEY DR STE 110
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960-4456
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-442-7011
-----------------------------------------------------
Fax | 973-998-7313
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 81 HARTLEY LN
-----------------------------------------------------
City | BASKING RIDGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07920-3707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-452-4354
-----------------------------------------------------
Fax | 973-998-7313
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RI0200X
-----------------------------------------------------
Taxonomy Name | Infectious Disease Physician
-----------------------------------------------------
License Number | 25MAO7412000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------