Komati, Naga Malleswari
Komati, Naga Malleswari is an sole proprietor health care provider with primary practice located at 767 Northfield Avenue , West Orange NJ 07052-1194. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Komati, Naga Malleswari can be contacted via phone (973) 419-0417.Contact Information
Primary practice address
767 Northfield Avenue
West Orange NJ 07052-1194
Phone: (973) 419-0417
Fax: (862) 766-5904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 25MA08336000 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA08336000 | New Jersey |
Profile Details
| NPI number | 1902014525 |
|---|---|
| LBN Legal business name | Komati, Naga Malleswari |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | Aug 23rd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902014525 | NPPES |
| New Jersey | MEDICAID | 0169790 | |
| New Jersey | Other | P00778377 |
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