Individual
RAVIKUMAR B BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 GRAND ST, 3 EAST, DEPT OF SURGERY, JERSEY CITY, NJ 07302-4321
(201) 915-2450
(201) 915-1282
Mailing address
40 CLIVE HILLS RD, DEPT OF SURGERY, EDISON, NJ 08820-3653
(908) 217-9441
(908) 217-9441
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
25MA08758600
NJ
2086S0127X
Trauma Surgery Physician
Primary
25MA08758600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D09771800
CDS( CONTROLLED DANGEROUS SUBSTANCE)
NJ
Enumeration date
12/08/2010
Last updated
06/28/2016
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