MEDICARE: V G BYAHATTI MD PRAMILA BYAHATTI MD PA

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	207RC0000X	Cardiovascular Disease Physician	MA02794100	NJ
2	207R00000X	Internal Medicine Physician	MA02794100	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	:	1003843780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	V G BYAHATTI MD PRAMILA BYAHATTI MD PA

Provider Business Mailing Address
First Line	:	1907 PARK AVE
Second Line	:	STE 103
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5530
Country	:	US
Telephone Number	:	908-756-2227
Fax Number	:	908-668-0455

Provider Business Practice Location Address
First Line	:	1907 PARK AVE
Second Line	:	STE 103
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5530
Country	:	US
Telephone Number	:	908-756-2227
Fax Number	:	908-668-0455

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VEERAPPA G BYAHATTI
Credential	:
Telephone Number	:	908-756-2227

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	09/11/2025

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