Provider Demographics
NPI:1801962311
Name:NAGARSHETH, HARISH N (MD)
Entity type:Individual
Prefix:DR
First Name:HARISH
Middle Name:N
Last Name:NAGARSHETH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3 PARLIN DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-2263
Mailing Address - Country:US
Mailing Address - Phone:732-238-8500
Mailing Address - Fax:732-238-8501
Practice Address - Street 1:3 PARLIN DR STE B
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-2263
Practice Address - Country:US
Practice Address - Phone:732-238-8500
Practice Address - Fax:732-238-8501
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03412000207RC0000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3833402Medicaid
NJ073491XKFMedicare PIN
NJ3833402Medicaid