Individual
SUNITA NANKOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44 E JIMMIE LEEDS RD STE 101, GALLOWAY, NJ 08205-9599
(609) 652-7349
Mailing address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09487500
NJ
2085R0202X
Diagnostic Radiology Physician
MT192757
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421766
—
NJ
Enumeration date
09/27/2009
Last updated
08/15/2019
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