Ziyaaudhin, Kappukalar A

Ziyaaudhin, Kappukalar A is an individual health care provider with primary practice located at 186 W Market St Ste 211A, Newark NJ 07103-2783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ziyaaudhin, Kappukalar A can be contacted via phone (973) 623-9011.

Contact Information

Primary practice address
186 W Market St Ste 211A Newark NJ 07103-2783
Fax: (973) 624-1208
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA03218600 New Jersey

Profile Details

NPI number 1033101035
LBN Legal business name Ziyaaudhin, Kappukalar A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
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 1033101035 NPPES
New Jersey MEDICAID 3035506

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