Panicker, Usha R

Panicker, Usha R is an sole proprietor health care provider with primary practice located at 2 Maryland Ave , Edison NJ 08820-2551. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Panicker, Usha R can be contacted via phone (732) 744-9288.

Contact Information

Primary practice address
2 Maryland Ave Edison NJ 08820-2551
Fax: (732) 744-9278
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MA05249000 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05249000 New Jersey

Profile Details

NPI number 1437131786
LBN Legal business name Panicker, Usha R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Sep 25th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437131786 NPPES
New Jersey Other 4526619 AETNA
New Jersey Other 1K6836 AETNA
New Jersey MEDICAID 5364906 AETNA
New Jersey Other 1121995 AETNA
New Jersey Other LP195 AETNA

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