Individual
SMITA MAHENDRAKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 S ORANGE AVE, MSB I- 524, NEWARK, NJ 07103-2757
(973) 972-4100
Mailing address
185 S ORANGE AVE, MSB I-524, NEWARK, NJ 07103-2757
(973) 972-4100
(973) 972-3578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08321100
NJ
207RN0300X
Nephrology Physician
Primary
25MA08321100
NJ
Other
Enumeration date
06/10/2008
Last updated
10/13/2015
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