MEDICARE: AMIT S KHAROD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD068352L	PA
2	208600000X	Surgery Physician	25MA08240200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003804964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT S KHAROD MD

Provider Business Mailing Address
First Line	:	901 W MAIN ST
Second Line	:	SUITE 107
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-2537
Country	:	US
Telephone Number	:	732-308-4202
Fax Number	:	732-308-4212

Provider Business Practice Location Address
First Line	:	901 W MAIN ST
Second Line	:	SUITE 107
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-2537
Country	:	US
Telephone Number	:	732-308-4202
Fax Number	:	732-308-4212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	01/27/2016

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Directions to “ AMIT S KHAROD MD” Practice Location

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