Raghunathan, Susheela

Raghunathan, Susheela is an individual health care provider with primary practice located at 1412 Rt 130 North , North Brunswick NJ 08902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Raghunathan, Susheela can be contacted via phone (732) 821-3211.

Contact Information

Primary practice address
1412 Rt 130 North North Brunswick NJ 08902
Fax: (732) 821-3024
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA38203 New Jersey

Profile Details

NPI number 1144330689
LBN Legal business name Raghunathan, Susheela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 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 1144330689 NPPES
New Jersey MEDICAID 5077508

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