MEDICARE: AKSHAR MEDICAL GROUP 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1255512265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AKSHAR MEDICAL GROUP PA

Provider Business Mailing Address
First Line	:	PO BOX 5165
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08638-0165
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 PARKSIDE AVE
Second Line	:	SUITE 5
City	:	EWING
State	:	NJ
Zip	:	08638-2946
Country	:	US
Telephone Number	:	609-771-1881
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	SHODHAN PATEL
Credential	:
Telephone Number	:	609-771-1881

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	11/19/2007

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