Individual
DR. UMA KANIKICHARLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
41 WILSON AVENUE, # 2D, NEWARK, NJ 07105-3612
(973) 589-7337
(973) 589-1905
Mailing address
41 WILSON AVENUE, # 2D, NEWARK, NJ 07105-3612
(973) 589-7337
(973) 589-1905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08291800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141151
—
NJ
01
—
25MA08291800
LICENSE
NJ
Enumeration date
09/18/2007
Last updated
10/21/2020
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