Individual
NIVEDITHA MEGHADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
295 PIERSON AVE, EDISON, NJ 08837-3118
(732) 494-8558
Mailing address
42 BENNET ST, FORDS, NJ 08863-1442
(732) 857-7140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04971065
ECFMG
—
Enumeration date
10/11/2006
Last updated
07/08/2007
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