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Individual

DR. VIKAS RAMNATH DHARNIDHARKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
89 FRENCH ST, NEW BRUNSWICK, NJ 08901-1935
(732) 235-7400
(888) 463-6898
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 454-6043
(888) 463-6898

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012018715
MO
2080P0210X
Pediatric Nephrology Physician
2012018715
MO
2080P0210X
Pediatric Nephrology Physician
Primary
25MA12443900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209856707
MO
01
25MA12443900
NJ LICNESE
NJ
Enumeration date
06/04/2006
Last updated
10/29/2024
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