MEDICARE: DR. VEENA H. NAGARSHETH 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
1	208000000X	Pediatrics Physician	25MA03594100	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	666190B1F	OTHER		MEDICARE BILLING NUMER

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
2	1669526133	OTHER	NJ	GROUP NPI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881610335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VEENA H. NAGARSHETH M.D.

Provider Business Mailing Address
First Line	:	3 PARLIN DR
Second Line	:	SUITE B
City	:	PARLIN
State	:	NJ
Zip	:	08859-2263
Country	:	US
Telephone Number	:	732-238-2333
Fax Number	:	732-238-8501

Provider Business Practice Location Address
First Line	:	3 PARLIN DR
Second Line	:	SUITE B
City	:	PARLIN
State	:	NJ
Zip	:	08859-2263
Country	:	US
Telephone Number	:	732-238-2333
Fax Number	:	732-238-8501

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

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	12/30/2011

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Directions to “ DR. VEENA H. NAGARSHETH M.D.” Practice Location

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