Provider Demographics
NPI:1548331671
Name:PARI, SADHANA (MD)
Entity type:Individual
Prefix:DR
First Name:SADHANA
Middle Name:
Last Name:PARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SADHANA
Other - Middle Name:S
Other - Last Name:AMBALAVANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9 PROVIDENCE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JCT
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-2154
Mailing Address - Country:US
Mailing Address - Phone:732-889-4249
Mailing Address - Fax:
Practice Address - Street 1:49 VERONICA AVE
Practice Address - Street 2:SUITE # 101
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-6802
Practice Address - Country:US
Practice Address - Phone:732-247-3434
Practice Address - Fax:732-247-1815
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08129100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics