Organization
MAHI PEDIATRICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UMA KANIKCHARLA M.D. (OWNER)
(732) 252-8453
Entity
Organization
Contact information
Practice address
41 WILSON AVENUE, #2D, NEWARK, NJ 07105-3612
(732) 252-8453
Mailing address
41 WILSON AVENUE, #2D, NEWARK, NJ 07105
(973) 589-7337
(973) 589-1905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08291800
NJ
208000000X
Pediatrics Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
Other
Enumeration date
12/08/2011
Last updated
10/21/2020
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