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NPI Code Detail

MEDICARE: DR. KISHAN ARVIND SITAPARA M.D.

MEDICARE:  DR. KISHAN ARVIND SITAPARA  M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208100000XPhysical Medicine & Rehabilitation Physician25MA11448400NJ

General Provider Information

NPI Number : 1285165431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KISHAN ARVIND SITAPARA M.D.
Provider Business Mailing Address
First Line : 720 MONROE ST STE C208
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-6350
Country : US
Telephone Number : 201-533-9200
Fax Number :
Provider Business Practice Location Address
First Line : 720 MONROE ST STE C208
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-6350
Country : US
Telephone Number : 201-533-9200
Fax Number : 201-533-9299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 09/21/2022

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Directions to “ DR. KISHAN ARVIND SITAPARA M.D.” Practice Location

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