Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MA08240200 | NJ |
Y | 208600000X | Surgeon | 25MA08240200 | NJ |
N | 208200000X | Surgeon | MD068352L | PA |
N | 208600000X | Surgeon | MD068352L | PA |
NPI | 1003804964 |
---|---|
Provider Name | Amit S Kharod |
First Address | Freehold, NJ 07728-2537 |
Second Address | Freehold, NJ 07728-2537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 27/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018556980001 | (05) | PA |
H51576 | (02) |